ROS-MAR-76

Code
ROS-MAR-76
Mercy ID
V-02486-01
Encounter Date
05/01/2007
Last
Rosas
First
Maria cecilia
DOB
11/04/1976
County
Clayton
Street
63-B Tara Boulevard
City
Jonesboro
State
GA
Zip
30236-
Cell
(404) 914-7305
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Varela
First
Alfredo
DOB
01/12/1977
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
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
Gema Rosas 07/07/2004 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
Compañero Alfredo Varela