LOP-MAR-77

Code
LOP-MAR-77
Mercy ID
V-01402-01
Encounter Date
11/05/2003
Last
Lopez
First
Marina
DOB
12/26/1977
County
Dekalb
Street
3216 Chamblee Dunwoody Rd.
City
Atlanta
State
GA
Zip
30341-
Home
(770) 452-8908
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Roblero
First
Felipe
DOB
05/26/1973
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
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Edy Roblero 11/16/1999 Parents GA/USA
Estrella Roblero 11/06/1997 Parents GA/USA
Yaniv Roblero 02/25/2001 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
x3737 Damaryz