ROJ-JUL-76

Code
ROJ-JUL-76
Mercy ID
V-02173-02
Encounter Date
02/21/2006
Last
Marroquin
First
Julio cesar
DOB
11/05/1976
County
Fulton
Street
66 Northwood Dr.
City
Sandy springs
State
GA
Zip
30342-
Home
(404) 435-7682
Cell
(678) 330-6269
Family Status
Single parent w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
Vocational/Technical

Spouse Information

Last
Rodriguez
First
Marisela
DOB
04/26/1981
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
Ana Karen Rojas 03/15/1999 Parents GA/USA
Joshua Julian Rojas 09/19/2005 Parents GA/USA
Kevin Alexander Rodriguez 01/06/2002 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
R. Gonzalez
Referred By
Fulton