PIN-LUZ-73

Code
PIN-LUZ-73
Mercy ID
V-02901-01
Encounter Date
09/19/2008
Last
Pinzon
First
Luz
DOB
01/30/1973
County
Fulton
Street
999 PADV-Albergue
City
Atlanta
State
GA
Zip
30312-
Cell
(404) 287-8823
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Shelter
Education Level
Some College

Spouse Information

Last
Stout
First
Joseph
DOB
08/27/1973
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
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
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
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Bruno Linox John Stout 05/02/2008 Mother GA/USA
NOTES

Media Authoritation

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