LAM-PEG-47

Code
LAM-PEG-47
Mercy ID
V-00393-01
Encounter Date
01/23/2001
Last
Lambert
First
Peggy
DOB
05/31/1947
County
Fulton
Street
6900 Roswell Rd H-4
City
Atlanta
State
GA
Zip
30328-
Home
(770) 522-9320
Cell
(678) 378-7672
Family Status
Adult coupie-no children
COB
USA
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Dynamex(Rodriguez
First
Roberto
DOB
12/01/1973
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
No
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
D. Gomez
Referred By
Fulton Court