COL-ROS-72

Code
COL-ROS-72
Mercy ID
V-02707-01
Encounter Date
02/07/2008
Last
Colon
First
Rosa
DOB
05/25/1972
County
Fulton
Street
2152 Woodberry Ave.
City
Atlanta
State
GA
Zip
30344-
Cell
(404) 516-6290
Family Status
Single parent w/children
COB
Bolivia
Gender
Female
Housing
Single Family
Education Level
Some College

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
Home Owner
No
Driver
No
Home Owner
YES
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
YES
Consentimiento De Participar
YES

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
Joelle Alexandra Colon 05/03/2006 Mother GA/USA

Former Spouse 1 Information

Last
Colon
First
Joseph
DOB
03/02/1983
Telephone
N/A
COB
USA
Home Owner
YES
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
Maria Fernanda