TAV-ROC-79

Code
TAV-ROC-79
Mercy ID
V-00264-01
Encounter Date
08/14/2000
Last
Tavera
First
Rocio
DOB
10/11/1979
County
Gwinnett
Street
beaver ruin rd #1610 dunleaf apt
City
Norcross
State
GA
Zip
30093-
Home
(770) 921-9454
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Transitional
Education Level
some high school

Spouse Information

Last
Olvera
First
Cristian
DOB
09/19/1977
Address
703 briar lake court atlanta ga 30345
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
YES
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
rodrigo olvera 10/21/1995 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
S. Aviña
Referred By