ROD-MAR-73

Code
ROD-MAR-73
Mercy ID
V-01274-01
Encounter Date
07/09/2003
Last
Rodriguez
First
Martha
DOB
03/28/1973
County
Dekalb
Street
2769 Shallowford Apt. E
City
Chamblee
State
GA
Zip
30341-
Home
(770) 451-9313
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Ruiz garcia
First
Daniel
DOB
10/21/1973
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
Brian Ruiz 02/17/1998 Parents GA/USA
Cristian D. Ruiz 03/20/1992 Parents GA/USA
Gerardo Ruiz 03/03/1995 Parents GA/USA
Stefany Ruiz 12/28/1996 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
K. Aleman
Referred By
x3737 Damaryz