FLO-LID-63

Code
FLO-LID-63
Mercy ID
V-00165-01
Encounter Date
04/05/2000
Last
Flores
First
Lidia
DOB
06/25/1963
County
Dekalb
Street
3369 chamblee dunwoody rd Apt-A
City
Chamblee
State
GA
Zip
30341-
Home
(770) 457-6160
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
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
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
enriquezavaleta 05/24/1987 DFACS GA/USA
honey zavaleta 06/05/1989 DFACS GA/USA
jose alberto zavaleta 11/26/1985 DFACS GA/USA
paullete zavaleta 09/24/1991 DFACS GA/USA
suzette zavaleta 10/30/1996 DFACS GA/USA
tanya zavaleta 12/16/1992 DFACS 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
D. Gomez
Referred By