ZUÑ-FLO-73

Code
ZUÑ-FLO-73
Mercy ID
V-03444-01
Encounter Date
10/05/2010
Last
Zuñiga
First
Florencia
DOB
06/25/1973
County
Gwinnett
Street
734 Globe Chater Lane
City
Norcross
State
GA
Zip
30071-
Cell
(770) 896-6793
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Andrade
First
Antonio
DOB
09/09/1972
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
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
Esther Andrade 02/16/2010 Parents GA/USA
Joyce Andrade 08/01/2007 Parents GA/USA
Ken Andrade 12/20/2004 Parents GA/USA
Marco Antonio Andrade 03/30/1998 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
Linea- Griselda