FLO-MIN-71

Code
FLO-MIN-71
Mercy ID
V-01182-01
Encounter Date
03/31/2003
Last
Flores
First
Minerva
DOB
05/28/1971
County
Gwinnett
Street
1635 Pirkle Rd. Apt. 1719
City
Norcross
State
GA
Zip
30093-
Home
(404) 454-2937
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Juarez
First
Antonio
DOB
12/26/1972
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
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
Daniel Flores N/A Grandmother Mexico
Elizabeth Flores N/A Grandmother Mexico
NOTES

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
Policia Gwinnett/x3737 Damaryz