AGU-LIL-68

Code
AGU-LIL-68
Mercy ID
V-00460-01
Encounter Date
03/13/2001
Last
Aguirre
First
Lilia
DOB
07/27/1968
County
Gwinnett
Street
6628 Ramsgate Way
City
Norcross
State
GA
Zip
30093-
Home
(404) 886-0923
Cell
(770) 351-0785
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical

Spouse Information

Last
Aguirre
First
Moises
Middle
D.
DOB
06/15/1967
Address
N/A
Telephone
N/A
COB
Perú
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
YES
Consentimiento De Participar
YES

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
Brian Alexix Aguirre 05/19/1995 Parents GA/USA
Robert Juan Aguirre 03/21/2000 Parents GA/USA
NOTES
Signed consent form and promesa before the fire

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
Michelle Roman