Code
RIO-SAR-74
Mercy ID
V-01514-01
Encounter Date
03/02/2004
Last
Rios
First
Sara
DOB
11/03/1974
County
Dekalb
Street
3160 Bufford Hwy J-9
City
Atlanta
State
GA
Zip
30329-
Home
(404) 728-9052
Cell
(678) 768-6095
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Sanchez
First
Julian
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
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
Jonathan Vargas 12/08/1993 Mother GA/USA
Juliana Perez 06/25/2002 Parents GA/USA
Merari Vargas 12/10/1995 Grandparents Mexico
Sarahi Vargas 08/08/1991 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
x1375 Damaryz