CRU-MAR-69

Code
CRU-MAR-69
Mercy ID
V-00265-01
Encounter Date
08/21/2000
Last
Cruz vargas
First
Marisol
DOB
06/05/1969
County
Cobb
Street
450 Roswelberg Cir.
City
Marietta
State
GA
Zip
30060-
Home
(770) 792-8871
Family Status
Two parent family w/children
COB
Nicaragua
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Cruz
First
Jose
Middle
A.
DOB
03/19/1969
Address
N/A
Telephone
N/A
COB
Mexico
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
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
Aaron Bonilla 01/10/1993 Mother w/Stepfather GA/USA
Arlene Cruz 07/25/1998 Parents GA/USA
Thaiz Cruz 01/17/1996 Parents 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
Y. Garcia
Referred By