DIA-LOR-74

Code
DIA-LOR-74
Mercy ID
V-00079-01
Encounter Date
02/21/2000
Last
Diaz
First
Lorena
DOB
12/04/1974
County
Gwinnett
Street
1575 holcomb bridge rd
City
Norcross
State
GA
Zip
30092-
Home
(678) 291-9876
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Lima
First
Hervin
DOB
09/15/1972
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
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
amy gisel 12/03/1999 Parents GA/USA
hervine lima 01/24/1997 Parents 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
S. Aviña
Referred By