SUJ-LIL-82

Code
SUJ-LIL-82
Mercy ID
V-01691-01
Encounter Date
09/13/2004
Last
Sujo
First
Lilia
DOB
05/01/1982
County
Fulton
Street
4011 Roswell Rd. Apt. H-4
City
Atlanta
State
GA
Zip
30342-
Home
(404) 484-0085
Cell
(404) 287-7879
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Molina
First
Roberto
DOB
08/29/1975
Address
N/A
Telephone
N/A
COB
Mexico
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
Carla Denny Molina 09/13/1999 Parents GA/USA
Liliana Molina 02/07/2008 Parents GA/USA
Oscar Molina 07/10/2006 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
Rafael Miranda