Code
MOR-LUC-67
Mercy ID
V-01843-01
Encounter Date
02/28/2005
Last
Morales
First
Lucy
DOB
03/05/1967
County
Gwinnett
Street
not given #1
City
Norcross
State
GA
Zip
30071-
Cell
(678) 760-3369
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Diaz
First
Abel
DOB
08/10/1964
Address
N/A
Telephone
N/A
COB
El Salvador
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
Ana Beatriz Castañeda 10/20/1988 Parents GA/USA
Antoni Diaz 05/17/1999 Parents GA/USA
Diana Castañeda 09/25/1987 Parents GA/USA
Dinora Castañeda N/A N/A GA/USA
Guillermo Diaz 09/09/1994 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
K. Aleman
Referred By