SAN-LIL-67

Code
SAN-LIL-67
Mercy ID
V-02227-01
Encounter Date
04/14/2006
Last
Santos
First
Lili oneida
DOB
12/26/1967
County
Bartow
Street
59 Vallevie #19
City
Karesville
State
GA
Zip
30120-
Home
(770) 607-0077
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Santos
First
Johan
DOB
N/A
Address
N/A
Telephone
N/A
COB
USA
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
YES
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
Alfredo Alvarez 12/07/1989 Mother GA/USA
Cecilia Flores 05/23/1998 Mother GA/USA
Lizzie Santos 10/09/2003 Mother GA/USA
Sissi Santos 10/09/2003 Mother 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
R. Gonzalez
Referred By