RUB-MAR-68

Code
RUB-MAR-68
Mercy ID
V-02349-01
Encounter Date
10/31/2006
Last
Rubio
First
Margarita
DOB
01/01/1968
County
Other
Street
6111 Codestress H 1516
City
Raleigh
State
GA
Zip
27612-
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Rubio
First
Saulon
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
Eduardo Rubio 08/01/1993 Mother GA/USA
Eliel Rubio 02/13/1985 Mother GA/USA
Luis Rubio 12/13/1987 Mother GA/USA
Reley Rubio 01/25/1991 Mother GA/USA
Usiel Rubio 12/16/1989 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Juana