QUI-JOA-80

Code
QUI-JOA-80
Mercy ID
V-03037-02
Encounter Date
06/23/2009
Last
Quiroz
First
Joaquin
DOB
05/21/1980
County
Cobb
Street
3060 Buford Hwy NE Apt. A-20
City
Atlanta
Probation Officer/Caseworker
Ana Cordeiro
State
GA
Zip
30329-
Cell
(404) 914-4482
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Shelter
Education Level
Grade school

Spouse Information

Last
Aguilar
First
Mireya
DOB
07/03/1975
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
YES
No case plan
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
YES
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
Angie Gabriela Quiroz 03/16/2007 Mother GA/USA
Erick Aguilar 10/16/1997 Mother GA/USA
Rosa del Carmen Quiroz 01/18/1996 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
DFCS-Ana Cordeiro