NAV-ROS-67

Code
NAV-ROS-67
Mercy ID
V-01920-01
Encounter Date
06/08/2005
Last
Navarro
First
Rosa
DOB
12/30/1967
County
Gwinnett
Street
969 Lakeview Rd.
City
Grayson
State
GA
Zip
30017-
Home
(770) 736-9059
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless

Spouse Information

Last
Navarro
First
Armando
DOB
12/09/1969
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
YES
Consentimiento De Participar
YES

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
Aaron Navarro 09/24/1997 Parents GA/USA
Alex Navarro 11/20/1992 Parents GA/USA
Amy Navarro 05/25/1989 Parents GA/USA
NOTES
aka Cobardo, Rosa

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
K. Aleman
Referred By