Code
RIJ-EST-67
Mercy ID
V-01519-02
Encounter Date
03/30/2004
Last
Rijos
First
Esteban
DOB
03/17/1967
County
Gwinnett
Street
4574 Concourt
City
Snellville
State
GA
Zip
30039-
Home
(404) 915-0229
Cell
(770) 662-3559
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Transitional
Education Level
High school graduate

Spouse Information

Last
Rodriguez
First
Hilda
DOB
07/31/1971
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
Sebastian Rijos 07/01/2000 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
K. Aleman
Referred By
x1375 Gwinnett