FLO-LUZ-65

Code
FLO-LUZ-65
Mercy ID
V-00379-01
Encounter Date
01/03/2002
Last
Padilla
First
Luz elena
DOB
02/22/1965
County
Cobb
Street
3999 Verbena Dr.
City
Kenesaw
State
GA
Zip
30144-
Cell
(770) 896-7292
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Some College

Spouse Information

Last
Flores
First
Jose manuel
DOB
11/25/1962
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
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
Julio Leiva 03/02/1984 Adulto/Casado GA/USA
Karen Flores 08/06/2001 Parents GA/USA
Miguel Flores 02/21/2006 Parents GA/USA
Oksana Flores 08/18/1999 Parents GA/USA
NOTES
aka Flores

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
S. Aviña
Referred By
maria eugenia