LOP-CAT-69

Code
LOP-CAT-69
Mercy ID
V-03491-01
Encounter Date
12/06/2010
Last
Lopez
First
Catalina
DOB
06/17/1969
County
Dekalb
Street
2547 Pilgrim West # B
City
Atlanta
State
GA
Zip
30345-
Cell
(678) 437-5416
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Vaca
First
Acacio
DOB
06/12/1964
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
Anatran Vaca 08/23/1993 Parents GA/USA
German Vaca 07/22/1996 Parents GA/USA
Linda Esperanza Vaca 08/03/1991 Parents GA/USA
Meylin Vaca 12/02/2003 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
Hija-Linda Vaca