PER-LII-82

Code
PER-LII-82
Mercy ID
V-02871-01
Encounter Date
08/14/2008
Last
Perez
First
Lidia
DOB
08/03/1982
County
Dekalb
Street
2551 Pilgrim Way Apt. A
City
Atlanta
State
GA
Zip
30345-
Cell
(404) 488-7528
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education

Spouse Information

Last
Morales
First
Noe
DOB
01/04/1980
Address
N/A
Telephone
N/A
COB
Guatemala
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
YES
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
YES
Relative
YES
Stranger
YES
As An Adult
YES
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Andrea Cervantes 06/23/2000 Mother w/Stepfather GA/USA
Brian Cervantes 06/30/2007 Parents GA/USA
Omar Cervantes 10/03/2003 Mother w/Stepfather GA/USA
Yahaira Morales 09/27/2009 Parents GA/USA

Former Spouse 1 Information

Last
Cervantes
First
Mariano
DOB
06/16/1977
Telephone
N/A
COB
Guatemala
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
linea