LUN-GLO-73

Code
LUN-GLO-73
Mercy ID
V-02164-01
Encounter Date
02/08/2006
Last
Luna
First
Gloria
DOB
01/31/1973
County
Other
Street
402 Optin St
City
Wharton
State
GA
Zip
77488-
Home
(979) 531-1608
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Baltazar
First
Julio
DOB
10/07/1979
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
YES
DFCS Mandated
YES
Gwinett
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
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
Estephanie Balderas 02/25/1990 Mother w/Stepfather GA/USA
Mireya Cabral 08/17/1997 Mother w/Stepfather GA/USA
Sadie Garcia 01/29/1993 Mother w/Stepfather GA/USA

Former Spouse 1 Information

Last
Cabral
First
Armando
DOB
N/A
Telephone
N/A
COB
N/A
Home Owner
No

Former Spouse 2 Information

Last
L?????????????????????????????
First
L?????????????????????????????
DOB
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
NOTES

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
Jessica Parker