ROD-ALE-63

Code
ROD-ALE-63
Mercy ID
V-02441-02
Encounter Date
03/20/2007
Last
Rodriguez
First
Alex
DOB
06/29/1963
County
Gwinnett
Street
2552 Hewatt Road
City
Snellville
State
GA
Zip
30039-
Cell
(678) 663-2332
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Transitional
Education Level
College Degree

Spouse Information

Last
Rodriguez
First
Astrid
DOB
11/07/1970
Address
N/A
Telephone
N/A
COB
Argentina
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
YES
Program Completed
YES
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
Alex Karina Rodriguez 06/21/1992 Mother GA/USA
Andree Daniel Rodriguez 06/05/1995 Mother GA/USA
Ricardo Valentino Rodriguez 04/18/1990 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
Felipe