LEP-EDG-72

Code
LEP-EDG-72
Mercy ID
V-01264-02
Encounter Date
05/15/2006
Last
Lep
First
Edgar
DOB
05/08/1972
County
Dekalb
Street
3743 Turner Heights Dr
City
Decatur
State
GA
Zip
30032-
Home
(404) 534-1378
Cell
(404) 840-9642
Family Status
Two parent family w/children
COB
Guatemala
Gender
Male
Housing
Other
Education Level
some high school

Spouse Information

Last
Xiacara
First
Sonia
DOB
12/24/1966
Address
N/A
Telephone
(404) 909-0348
COB
Guatemala
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
YES
Dekalb
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Edgar Lep Xiacara 10/18/1991 N/A GA/USA
Emily Xiacara 08/25/2005 N/A GA/USA
Jorge Lep Xiacara 03/19/2004 N/A GA/USA
Monica Lep Xiacara 03/15/1993 N/A GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
R. Gonzalez
Referred By
DFCS