MEZ-ERI-77

Code
MEZ-ERI-77
Mercy ID
V-02779-01
Encounter Date
05/13/2008
Last
Meza
First
Erika
DOB
04/02/1977
County
Gwinnett
Street
3205 Sunrise Village lane #-F
City
Norcross
State
GA
Zip
30093-
Cell
(678) 334-6886
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Lepe
First
Rene
DOB
03/20/1978
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
YES
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
YES
Stay Away Condition
No
Mutual
No

Defendant

TPO
YES
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
Karina Lepe 09/28/2002 Parents GA/USA
Karla Lepe 10/05/2000 Parents GA/USA
Oscar Lepe 04/29/1998 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
J. Manzo
Referred By
linea-Griselda/amiga