FLO-MAR-11

Code
FLO-MAR-11
Mercy ID
V-02127-01
Encounter Date
12/12/2005
Last
Flores
First
Maria
DOB
11/08/1970
County
Gwinnett
Street
405 Comseptos #21
City
Norcross
State
GA
Zip
30092-
Home
(678) 334-7408
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Berlangas
First
Juan javier farias
DOB
N/A
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
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
Hedy Flores 04/23/1996 Parents GA/USA
Luz Farias 12/18/1993 Parents GA/USA
Wendy Flores 09/21/2000 Parents GA/USA
NOTES
Another women has the code of: FLO-MAR-70. This Maria uses the month of birth.

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
R. Gonzalez
Referred By
Walk in