PIÑ-ANE-07

Code
PIÑ-ANE-07
Mercy ID
V-03483-01
Encounter Date
12/13/2010
Last
Pineda
First
Anedia
DOB
07/26/1979
County
Dekalb
Street
3562 Buford Hwy # 6
City
Atlanta
State
GA
Zip
30329-
Cell
(404) 516-1441
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
H.S. equivalency diploma

Spouse Information

Last
Rodriguez
First
Vicente
DOB
02/12/1973
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
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
Jaffon Rodriguez 07/26/2008 Parents GA/USA
Nefertari Rodriguez 04/09/2006 Parents GA/USA
Ramces Rodriguez 09/29/2000 Parents GA/USA
Vicente Rodriguez 01/31/2003 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
Linea-Jackie