ROD-ALB-75

Code
ROD-ALB-75
Mercy ID
V-00633-01
Encounter Date
08/03/2001
Last
Rodriguez
First
Alberta
DOB
07/18/1975
County
Clayton
Street
661 Sherwood Dr. Apt. K-3
City
Jonesboro
State
GA
Zip
30236-
Home
(770) 473-6056
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Rojas
First
Eloy
DOB
N/A
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
Alexander Eloy Rojas 09/28/1996 Parents GA/USA
Edward Rojas 12/06/1996 Parents GA/USA
Lady Diana Rojas 05/21/1994 Mother w/Stepfather GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
x7764 Rebecca