ZUÑ-LET-68

Code
ZUÑ-LET-68
Mercy ID
V-00329-01
Encounter Date
11/01/2000
Last
Zuñiga
First
Leticia ilda
DOB
09/30/1968
County
Dekalb
Street
3204 H Chamblee Dunwoody Rd.
City
Atlanta
State
GA
Zip
30341-
Home
(770) 270-9030
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
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
YES
Consentimiento De Participar
YES

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
Alexis Ivan Flores N/A Mother GA/USA
Cristobal Adrian Flores N/A Mother GA/USA
Luis Alberto Flores 04/30/1998 Mother GA/USA
Manuel Orlando Herrera 12/16/1994 Mother GA/USA
Pedro Benito Flores 03/12/1997 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
Maria de Jesus/ Mision