ROJ-MAR-73

Code
ROJ-MAR-73
Mercy ID
V-02346-01
Encounter Date
11/07/2006
Last
Rojo
First
Maria elena
DOB
10/18/1973
County
Gwinnett
Street
4140 Bowors Point
City
Lilburn
State
AR
Zip
30047-
Cell
(770) 885-0150
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
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
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
Aibeteh Resendiz 09/17/1994 Mother GA/USA
Erika Resendiz 04/15/1997 Mother GA/USA
Jose A. Rojo 10/22/2009 Mother GA/USA
Lelany Resendiz 01/01/2002 Mother GA/USA

Former Spouse 1 Information

Last
Resendiz
First
Angel ruben
DOB
09/01/1972
Telephone
N/A
COB
N/A
Home Owner
YES
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
Rosa Solorzano