SAN-ROS-72

Code
SAN-ROS-72
Mercy ID
V-00124-01
Encounter Date
02/21/2000
Last
Sanchez
First
Rosalba
DOB
02/01/1972
County
Fulton
Street
1505 Chatahooche Av Lt -137
City
Atlanta
State
GA
Zip
30318-
Home
(404) 350-6977
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Sanchez
First
Pedro
DOB
06/29/1966
Address
Same
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
Erik Sanchez 11/02/1991 Mother GA/USA
Jessica Sanchez 08/28/1995 Mother 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
D. Gomez
Referred By