REY-NAT-64

Code
REY-NAT-64
Mercy ID
V-01632-01
Encounter Date
06/09/2004
Last
Reyes
First
Natalia
DOB
02/04/1964
County
Dekalb
Street
413 Winter Spark Dr.
City
Atlanta
State
GA
Zip
30360-
Home
(770) 242-1897
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Rodas
First
Romeo
Middle
10306
DOB
N/A
Address
6800 Peachtree Ind. Blvd. Apt B-7 Doraville GA 303
Telephone
N/A
COB
Guatemala
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
YES
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
Armando Rodas 04/10/1999 N/A Guatemala
Erwin Rodas 08/04/1989 N/A Guatemala
Ingrid Rodas 09/17/1997 N/A Guatemala
Karla Rodas 04/06/1998 N/A Guatemala
Reynita Rodas 07/10/1995 N/A Guatemala
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
Mision/Walk In