Code
CRU-LUI-77
Mercy ID
V-02339-02
Encounter Date
10/09/2006
Last
Cruz
First
Luis
DOB
08/19/1972
County
Dekalb
Street
3223 Oakcliff Rd
City
Doraville
Probation Officer/Caseworker
Waindle #19
State
GA
Zip
30340-
Home
(404) 441-5919
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Cruz
First
Maria
Middle
C.
DOB
09/23/1978
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
No
DFCS Mandated
No
DFACS County
Alcohol & Drug
YES
# 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
Christopher Cruz 02/15/1997 Mother GA/USA
Daniela Cruz 04/01/2002 Mother GA/USA
Luis Cruz 05/30/2000 Mother GA/USA
Veronica Cruz 07/21/1998 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
J. Manzo
Referred By
dekalb court