FLO-LUI-72

Code
FLO-LUI-72
Mercy ID
V-02819-01
Encounter Date
06/17/2008
Last
Flores
First
Luisa
DOB
01/26/1972
County
Clayton
Street
6059 Ledgewood Drive
City
Forest park
State
GA
Zip
30297-
Home
(404) 957-3005
Cell
(404) 361-0486
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Single Family
Education Level
Some College

Spouse Information

Last
Flores
First
Mario
DOB
12/19/1972
Address
N/A
Telephone
N/A
COB
El Salvador
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
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
Gabriela Flores 12/03/1998 Parents GA/USA
Pamela Flores 11/23/2001 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
J. Manzo
Referred By
Renovacion conyugal/Belisa Urbina