LOP-ALE-69

Code
LOP-ALE-69
Mercy ID
V-02938-01
Encounter Date
11/10/2008
Last
Lopez
First
Alejandra
DOB
04/24/1969
County
Gwinnett
Street
5466 Copperfield
City
Lilburn
State
GA
Zip
30047-
Home
(678) 380-0813
Cell
(404) 226-0821
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
De jesus
First
Arturo
DOB
03/25/1967
Address
Pintura
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
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
Lilian A. De Jesus 04/13/1995 Parents GA/USA
Pamela De Jesus 05/20/1999 Parents 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
linea-Juana/Lilburn Elem