SOL-ROS-66

Code
SOL-ROS-66
Mercy ID
V-02573-01
Encounter Date
08/09/2007
Last
Solis
First
Rosalva
DOB
04/03/1966
County
Cobb
Street
77 Hedges St.
City
Marietta
State
GA
Zip
30008-
Cell
(678) 683-2859
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Canales
First
Ramon
DOB
05/22/1965
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
Esmeralda Canales 04/10/1998 Parents GA/USA
Heidy Canales 06/02/2003 Parents GA/USA
Karen Canales 11/30/1992 Parents GA/USA
Lizeth Canales 12/01/1988 Parents GA/USA
Talia Canales 04/10/1998 Parents 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