ROS-SOL-77

Code
ROS-SOL-77
Mercy ID
V-02543-01
Encounter Date
07/03/2007
Last
Rosas
First
Soledad
DOB
11/15/1977
County
Cobb
Street
1956 Bergerac St.
City
Marietta
State
GA
Zip
30008-
Other
(678) 855-5112
Family Status
Adult couple-no children
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Luwis
First
James
DOB
01/06/1971
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
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
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