ROD-ELE-69

Code
ROD-ELE-69
Mercy ID
V-01197-01
Encounter Date
04/23/2003
Last
Rodriguez
First
Elena
DOB
09/15/1969
County
Dekalb
Street
6652 Peachtree Industrial Blv. Apt L
City
Doraville
State
GA
Zip
30360-2150
Home
(404) 421-9404
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Popoca
First
Rafael
DOB
02/07/1978
Address
4821 Winter Chapel Rd. Doraville GA 30360
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
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
Melida Rodriguez 05/11/1990 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
x3737 Damaryz/Mision