Code
RUE-VIR-85
Mercy ID
V-02687-01
Encounter Date
01/11/2008
Last
Rueda
First
Viridiana
DOB
03/09/1985
County
Gwinnett
Street
6960 Magnolia Park Ln.
City
Norcross
State
GA
Zip
30093-
Cell
(404) 957-2910
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
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
DFACS County
Alcohol & Drug
No
# of DUIs
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
YES
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No

Driver
YES
Driver License Date
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
Beatriz Altamirano 12/14/1999 Mother GA/USA
Melissa Altamirano 02/12/2007 Mother GA/USA
Paola Altamirano 11/25/2001 Mother GA/USA
Vanessa Altamirano 12/15/2003 Mother GA/USA

Former Spouse 1 Information

Last
Altamirano
First
Pablo
DOB
11/18/1977
Telephone
(678) 392-6241
COB
Mexico
Home Owner
No
NOTES
2009-NO ANNUAL RETURN.

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
Cesar