LUG-LUZ-64

Code
LUG-LUZ-64
Mercy ID
V-03217-01
Encounter Date
12/02/2009
Last
Lugo
First
Luz
DOB
12/07/1964
County
Gwinnett
Street
999 no la quiso dar
City
Lawrenceville
State
GA
Zip
30044-
Cell
(404) 552-2542
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
Vocational/Technical

Spouse Information

Last
Lugo
First
Jorge
DOB
01/10/1953
Address
N/A
Telephone
N/A
COB
Puerto Rico
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
Christopher Lugo N/A 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