RIO-MAR-79

Code
RIO-MAR-79
Mercy ID
V-00273-01
Encounter Date
08/28/2000
Last
Rios
First
Margarita
DOB
02/22/1979
County
Cobb
Street
560 PowderSpring St #11 A-2
City
Marietta
State
GA
Zip
30064-
Home
(678) 290-9762
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Rendon
First
Margarito
DOB
01/27/1976
Address
same
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
Gisela Rendon 07/28/1995 Mother GA/USA
Jonathan Rendon 11/20/1996 Mother GA/USA
Nallely Rendon 07/24/1998 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
D. Gomez
Referred By
Dui