GON-RUT-69

Code
GON-RUT-69
Mercy ID
V-02224-01
Encounter Date
04/19/2006
Last
Gonzalez
First
Ruth
DOB
08/23/1969
County
Gwinnett
Street
109 Dikens
City
Lilburn
State
GA
Zip
30047-
Cell
(770) 876-7732
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Fraga
First
Luis
DOB
N/A
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
Alen Rowe 09/16/1998 Mother GA/USA
Luis Chicato 06/23/1984 N/A GA/USA
Marco Chicato 08/23/1986 Adulto/Casado GA/USA
Micke Rowe 10/03/2002 Mother GA/USA
Victor H Chicato 12/02/1988 Aunt 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
R. Gonzalez
Referred By