RUB-MAR-70

Code
RUB-MAR-70
Mercy ID
V-01235-01
Encounter Date
05/20/2003
Last
Rubio
First
Maria
DOB
06/06/1970
County
Other
Street
458 Bill Road Ridge Rd.
City
Winder
State
GA
Zip
30680-
Home
(770) 569-9588
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Rubio
First
Gregory
DOB
07/23/1972
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
Abran Resendis 07/09/1993 Mother w/Stepfather GA/USA
Brenda Bautista 09/04/1988 Mother w/Stepfather GA/USA
Carlos Bautista 08/26/1990 Mother w/Stepfather 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
K. Aleman
Referred By
x3737x