DUE-AZU-74

Code
DUE-AZU-74
Mercy ID
V-01443-01
Encounter Date
12/16/2003
Last
Dueñez
First
Azucena
DOB
04/29/1974
County
Gwinnett
Street
5614 Executive Way
City
Norcross
State
GA
Zip
30071-
Home
(770) 449-1882
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Lucero
First
Ronan
DOB
07/15/1969
Address
N/A
Telephone
N/A
COB
Guatemala
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
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
Aurora Izaguirre 01/11/1991 Father w/Stepmother GA/USA
Gerardo Izaguirre 05/07/1995 Mother w/Stepfather GA/USA
Marion Izaguirre 10/29/1993 Father w/Stepmother GA/USA
Stephany Lucero 03/01/2002 Mother w/Stepfather 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