ROD-ROS-73

Code
ROD-ROS-73
Mercy ID
V-01240-01
Encounter Date
06/04/2003
Last
Rodriguez
First
Rosa
DOB
06/27/1973
County
Clayton
Street
4248 Cleveland Dr.
City
Forest park
State
GA
Zip
30297-
Home
(404) 361-8851
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Garcia
First
Fidel
DOB
07/22/1967
Address
N/A
Telephone
N/A
COB
Mexico
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
Fidel Garcia 04/19/1993 N/A GA/USA
Janelle Garcia 04/28/1998 N/A GA/USA
Karla Garcia 03/18/1992 N/A GA/USA
Paola Garcia 08/10/1999 N/A 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
x3737 Damaryz