ESP-ROS-64

Code
ESP-ROS-64
Mercy ID
V-01331-01
Encounter Date
08/28/2003
Last
Espinal
First
Rosario
DOB
05/14/1964
County
Gwinnett
Street
2155 Hopkins Creek Dr.
City
Duluth
State
GA
Zip
30096-
Home
(770) 409-1530
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Espinal
First
Noe
DOB
12/24/1974
Address
N/A
Telephone
N/A
COB
El Salvador
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Ashly Espinal 09/25/1999 Parents GA/USA
Jacqueline Benitez 03/30/1990 Parents GA/USA
Noe Espinal 08/11/1994 Parents GA/USA
Trevor Benitez N/A Parents 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