Code
TOV-LUZ-70
Mercy ID
V-03066-01
Encounter Date
05/07/2009
Last
Tovar
First
Luz neyda
DOB
07/08/1970
County
Gwinnett
Street
1008 Country Court
City
Lawrenceville
State
GA
Zip
30044-
Cell
(404) 914-7877
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
Post Grad Degree

Spouse Information

Last
Suazo
First
Hander
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
Brittany Suazo 10/15/2004 Parents GA/USA
Hander Suazo 12/18/2000 Parents GA/USA
Marilyn Suazo 06/26/2006 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/Claudia Tovar cuñada