ORD-PED-73

Code
ORD-PED-73
Mercy ID
V-00176-02
Encounter Date
04/18/2000
Last
Ordaz
First
Pedro
DOB
01/25/1973
County
Cobb
Street
525 Wood Song Trail Apt-301
City
Smyrna
State
GA
Zip
30082-
Home
(770) 438-8101
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
Vocational/Technical

Spouse Information

Last
Ordaz
First
Ana
DOB
10/16/1978
Address
same
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
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
Leonel Ordaz 01/21/2000 Parents GA/USA
NOTES

Media Authoritation

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