VAL-LEO-69

Code
VAL-LEO-69
Mercy ID
V-01595-02
Encounter Date
04/11/2004
Last
Valente rodriguez
First
Leonor
DOB
04/03/1969
County
Fulton
Street
2431 Morosgo Way Apt B
City
Atlanta
State
GA
Zip
30324-
Home
(404) 264-9086
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Cuevas
First
Soelia
DOB
05/10/1969
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
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
Agustin Rodriguez N/A Parents GA/USA
Kevin Rodriguez N/A Parents GA/USA
Yinifer Rodriguez N/A Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
K. Aleman
Referred By
Fulton