ROC-NAN-64

Code
ROC-NAN-64
Mercy ID
V-01065-01
Encounter Date
12/30/2002
Last
Rocha
First
Nancy
DOB
04/12/1964
County
Fulton
Street
4818 Dvon
City
Alpharetta
State
GA
Zip
30004-
Home
(770) 569-5128
Family Status
Two parent family w/children
COB
Perú
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Rocha
First
Alberto
DOB
06/12/1960
Address
N/A
Telephone
N/A
COB
Perú
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
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Katerin 06/11/1990 Parents 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
J. Manzo
Referred By
Corte Fulton