FIG-ROC-75

Code
FIG-ROC-75
Mercy ID
V-02698-01
Encounter Date
01/24/2008
Last
Figueroa
First
Rocio
DOB
10/18/1970
County
Dekalb
Street
3124 Buford Hwy. # 46
City
Atlanta
State
GA
Zip
30329-
Home
(678) 851-1470
Cell
(404) 462-7266
Work
(404) 462-7266
Other
(678) 362-9857
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Moreno
First
Julio
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
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
No
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
Jesus Moreno 06/19/1999 Parents GA/USA
Julio Figueroa 05/21/1995 Parents GA/USA
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
Felipe