ROD-AMB-63

Code
ROD-AMB-63
Mercy ID
V-00420-01
Encounter Date
02/23/2001
Last
Rodriguez
First
Ambrocia
DOB
12/07/1963
County
Gwinnett
Street
6038 club road -b
City
Norcross
State
GA
Zip
30093-
Home
(770) 499-7046
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Rivera
First
Armando
DOB
08/27/1972
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
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
alberta orozco 04/08/1983 Grandparents GA/USA
antonio de jesus 01/17/1994 Mother w/Stepfather GA/USA
mario orozco 01/30/1982 Grandparents GA/USA
marlene rivera 09/28/2000 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
D. Gomez
Referred By