ROD-HIL-71

Code
ROD-HIL-71
Mercy ID
V-01519-01
Encounter Date
03/08/2004
Last
Rodriguez
First
Hilda
DOB
07/31/1971
County
Gwinnett
Street
4574 Jone Ct.
City
Snellville
State
GA
Zip
30039-
Home
(678) 413-0592
Family Status
Single parent w/children
COB
Puerto Rico
Gender
Female
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Rijos
First
Esteban
DOB
03/17/1969
Address
N/A
Telephone
N/A
COB
Puerto Rico
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
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Sebastian Andres Rijos 07/01/2000 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
Damaryz 1375