RUI-VER-82

Code
RUI-VER-82
Mercy ID
V-01567-01
Encounter Date
04/09/2004
Last
Ruiz
First
Veronica
DOB
05/22/1982
County
Gwinnett
Street
3525 Club Dr. Apt. 105
City
Lawrenceville
State
GA
Zip
30044-
Cell
(404) 974-5238
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
N/A
First
Edgar
DOB
07/22/1980
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
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
Bryan J. Garcia 06/21/2001 Mother GA/USA
karen J. Garcia 06/25/2010 Mother GA/USA

Former Spouse 1 Information

Last
Garcia
First
Edgar
DOB
07/22/1980
Telephone
N/A
COB
Mexico
Home Owner
No
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