CRU-MAR-72

Code
CRU-MAR-72
Mercy ID
V-00713-01
Encounter Date
10/10/2001
Last
Cruz
First
Maria
DOB
02/12/1972
County
Bartow
Street
401 Chippewa Dr.
City
Acworth
State
GA
Zip
30102-
Home
(678) 453-2410
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Sanchez
First
Maurilio
DOB
01/15/1966
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
YES
Consentimiento De Participar
YES

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
Gloria Sanchez 12/13/1991 Parents GA/USA
Kevin Sanchez 05/21/1996 Parents GA/USA
Mauricio Sanchez 01/04/1991 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
K. Aleman
Referred By
hermana Juana Cruz