ROJ-PAT-63

Code
ROJ-PAT-63
Mercy ID
V-02365-01
Encounter Date
12/13/2006
Last
Rojo
First
Patricia
DOB
05/20/1963
County
Gwinnett
Street
1022 Livil Creek
City
Sugar hill
State
GA
Zip
30518-
Home
(770) 931-1560
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Some College

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
Dominican Rep
Home Owner
No
Driver
No
Home Owner
YES
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
Angelica Matos 06/04/1994 Mother GA/USA
Gabriela Matos 05/11/1996 Mother GA/USA
NOTES
*****2008, NO SE CONTACTO, NO A.R.*****

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