FLO-ANG-70

Code
FLO-ANG-70
Mercy ID
V-01359-01
Encounter Date
09/25/2003
Last
Flores
First
Angelica
DOB
05/20/1970
County
Clayton
Street
6257 Mount Zion Blv.
City
Morrow
State
GA
Zip
30260-
Home
(770) 960-1363
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Rodriguez
First
Jose luis
DOB
11/13/1969
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
YES
As A Child
YES
Relative
No
Stranger
YES
As An Adult
YES
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Felipe de Jesus Rodriguez 09/05/1991 Parents GA/USA
Luis Osvaldo Rodriguez 10/06/1989 Parents GA/USA
NOTES
aka Angelica Lara

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