PER-RUT-75

Code
PER-RUT-75
Mercy ID
V-01166-01
Encounter Date
03/23/2003
Last
Perez
First
Ruth
DOB
10/27/1975
County
Fulton
Street
1009 Washington St. Apt 2
City
Atlanta
State
GA
Zip
30344-
Home
(404) 522-9862
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Cuevas
First
Alexander
DOB
03/07/1980
Address
N/A
Telephone
N/A
COB
Honduras
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
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
Katerin Perez 11/04/2003 Father GA/USA
Noe Perez 05/06/1996 Grandmother Honduras
Oscar Perez 12/22/2002 Father 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
x3737 Damaryz/Police de East Point