ROB-GUA-57

Code
ROB-GUA-57
Mercy ID
V-00824-01
Encounter Date
01/29/2002
Last
Robles
First
Guadalupe
DOB
02/14/1957
County
Dekalb
Street
1403 North Cliff Valley Way
City
Atlanta
State
GA
Zip
30319-
Home
(404) 728-1912
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
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
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
Elizabeth 05/02/1985 Mother GA/USA
Juan 04/14/1995 Mother GA/USA
Junior (Efigenio) 03/09/1988 Mother GA/USA
Laura 03/10/1993 Mother GA/USA
Moises 10/22/1990 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
K. Aleman
Referred By
x8162 Julia & Probation Officer Dekalb County