RIV-CRI-73

Code
RIV-CRI-73
Mercy ID
V-01132-01
Encounter Date
02/21/2003
Last
Rivera
First
Cristina
DOB
08/03/1973
County
Fulton
Street
6259 Old Norcross Apt. BB-8
City
Tucker
State
GA
Zip
30084-
Home
(770) 939-9511
Cell
(404) 944-0062
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Rodas
First
Henry e
DOB
08/21/1977
Address
N/A
Telephone
N/A
COB
Guatemala
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
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Leslin Marleni Rodas 03/22/2005 Parents GA/USA
Maritza Damariz Sanabria 01/24/1996 Grandfather El Salvador
Odalis Sanabria 08/19/2001 Mother GA/USA
Oscar Javier Sanabria 12/16/1990 Grandfather El Salvador

Former Spouse 1 Information

Last
Sanabria
First
Jose oscar
DOB
11/30/1971
Telephone
(770) 645-6690
COB
El Salvador
Home Owner
No
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
x3737 Damaryz