POB-MON-70

Code
POB-MON-70
Mercy ID
V-01295-01
Encounter Date
07/30/2003
Last
Poblete
First
Monica
DOB
05/18/1970
County
Gwinnett
Street
3400 Sweetwater Rd. Apt 1715
City
Lawrenceville
State
GA
Zip
30044-
Home
(678) 522-0324
Family Status
Single parent w/children
COB
Argentina
Gender
Female
Housing
Not Homeless
Education Level
Some College

Spouse Information

Last
Luppu
First
Jonathan
DOB
12/21/1975
Address
N/A
Telephone
N/A
COB
Argentina
Home Owner
YES
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
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Fiona Luppu 02/15/2001 Mother GA/USA
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
x3737 Damaryz