LOP-LOU-77

Code
LOP-LOU-77
Mercy ID
V-03424-01
Encounter Date
09/16/2010
Last
Lopez
First
Lourdes
DOB
06/01/1977
County
Fulton
Street
5555 Roswell Rd.
City
Sandy springs
State
GA
Zip
30342-
Cell
(404) 566-1172
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Adult, no formal education

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
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
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
Aldo G. Zoto 09/06/1998 Grandmother Materna
Jhony Livorio 04/09/2009 Mother GA/USA
Joselin Livorio 10/24/2005 Mother GA/USA

Former Spouse 1 Information

Last
Livorio
First
Geovany
DOB
07/04/1982
Telephone
N/A
COB
Mexico
Home Owner
No
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
linea0Juana