MEJ-LOR-64

Code
MEJ-LOR-64
Mercy ID
V-01187-01
Encounter Date
04/09/2003
Last
Mejia
First
Lorena
DOB
10/18/1964
County
Fulton
Street
1606 Well Swood St.
City
Atlanta
State
GA
Zip
30315-
Home
(404) 627-5246
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Hernandez
First
Jose trinidad
DOB
06/13/1976
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
Consentimiento De Participar
YES

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
America Noemi Roche 05/04/1990 Father GA/USA
Delmis Lorena Mejia 03/31/1979 Adulto/Casado Texas
Freddy Alexander Mejia 05/13/1985 Aunt El Salvador
Hugo Antonio Roche 05/04/1988 Father GA/USA
Ingis Karina Mejia 01/20/1984 Aunt El Salvador
Marta Cecilia Mejia 10/20/1982 Aunt El Salvador
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
Verenice