ROM-MOI-82

Code
ROM-MOI-82
Mercy ID
V-02862-02
Encounter Date
05/08/2000
Last
Roman
First
Moises
DOB
08/28/1982
County
Fulton
Street
502 Granite Ridge Pl.
City
Sandy spring
Probation Officer/Caseworker
Mr. York
State
GA
Zip
30350-
Cell
(770) 369-2322
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Vega
First
Reynalda
DOB
02/16/1981
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
YES
DFCS Mandated
No
Alcohol & Drug
YES
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
Bryan Garcia 05/09/2001 Mother w/Stepfather GA/USA
Dania Vega 12 N/A Grandparents Mexico
Fatima Garcia 06/07/2006 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
Fulton County