ROS-AND-70

Code
ROS-AND-70
Mercy ID
V-00170-02
Encounter Date
03/21/2000
Last
Rostro
First
Andres
DOB
12/23/1970
County
Fulton
Street
553 Spring side Dr
City
Atlanta
State
GA
Zip
30354-
Home
(404) 597-6455
Family Status
Adult coupie-no children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Lowe
First
Melinda
DOB
02/02/1973
Address
N/A
Telephone
(678) 294-4771
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
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
Andres Rostros N/A N/A GA/USA
Jessica Marie Lowe N/A Uncle GA/USA
Selina Alejandra Rostros N/A N/A GA/USA
Veronica Anaberta Rostros N/A N/A GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
D. Gomez
Referred By