PRU-LOU-78

Code
PRU-LOU-78
Mercy ID
V-01995-01
Encounter Date
08/17/2005
Last
Prudente
First
Lourdes
DOB
03/16/1978
County
Dekalb
Street
3700 Bufford Hwy #15
City
Atlanta
State
GA
Zip
30329-
Home
(404) 321-6126
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Ibarra
First
Jaime
DOB
05/10/1975
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
Jimmy Ibarra 07/08/1997 Parents GA/USA
Jorge Ibarra 04/09/2000 Parents GA/USA
Michael Ibarra 01/06/2001 Parents GA/USA
Vanessa Ibarra 01/08/1999 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
K. Aleman
Referred By