BAR-LOR-74

Code
BAR-LOR-74
Mercy ID
V-03413-01
Encounter Date
09/07/2010
Last
Barrera
First
Lorena
DOB
08/03/1974
County
Gwinnett
Street
1009 Oakchase Dr. Apt. Y
City
Tucker
State
GA
Zip
30084-
Cell
(678) 964-1157
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Some College

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
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
Alan Callejas 05/19/2001 Mother GA/USA
Kevin Callejas 05/06/2007 Mother GA/USA

Former Spouse 1 Information

Last
Callejas
First
Eduardo
DOB
07/20/1973
Telephone
N/A
COB
Mexico
Home Owner
No
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
linea-Juana