ROD-MAR-77

Code
ROD-MAR-77
Mercy ID
V-00930-01
Encounter Date
05/20/2002
Last
Rodriguez
First
Maria eugenia
DOB
04/28/1977
County
Fulton
Street
2501 Holcombridge Rd.
City
Roswell
State
GA
Zip
30022-
Home
(678) 886-4730
Family Status
Single parent w/children
COB
Venezuela
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Garcia
First
Cesar
DOB
06/06/1966
Address
N/A
Telephone
N/A
COB
Venezuela
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
Ashley Nicole Garcia 07/16/2002 Parents 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
x7764 Karina Miller