DEL-HIL-68

Code
DEL-HIL-68
Mercy ID
V-00542-02
Encounter Date
06/26/2001
Last
De la rosa
First
Hilario
DOB
02/29/1968
County
Cherokee
Street
6901 Heritage Place
City
Woodstock
State
GA
Zip
30102-
Home
(770) 592-2786
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Other
Education Level
Grade school

Spouse Information

Last
Pond
First
Christina
DOB
09/08/1942
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
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
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
K. Aleman
Referred By
Cherokee County