BEN-RIT-74

Code
BEN-RIT-74
Mercy ID
V-01936-01
Encounter Date
06/09/2005
Last
Benito
First
Rita
DOB
05/28/1974
County
Dekalb
Street
2203 Plaster Rd. Apt E-4
City
Atlanta
State
GA
Zip
30345-
Home
(404) 235-9927
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical

Spouse Information

Last
Rodriguez
First
Marco antonio
DOB
01/19/1971
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
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
YES
Stranger
YES

Children

NAME DOB LIVING WITH STATE/COUNTRY
Eila Rodriguez 08/15/1994 Parents GA/USA
Marcos Rodriguez 01/11/1997 Parents GA/USA
Valeria Rodriguez 02/10/2002 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