CRU-PED-82

Code
CRU-PED-82
Mercy ID
V-02639-02
Encounter Date
11/20/2007
Last
Cruz
First
Pedro
DOB
10/03/1982
County
Dekalb
Street
6911 Kerrie Way
City
Lithonia
State
GA
Zip
30058-
Cell
(404) 379-9853
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Salinas
First
Karla
DOB
10/18/1988
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
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
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
Christopher Cruz 09/25/2004 Grandparents Mexico
Erik Cruz 09/24/2002 Grandparents Mexico
Kimberly Cruz 05/27/2007 Parents 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
G. Landeros
Referred By
corte