SAN-SAN-72

Code
SAN-SAN-72
Mercy ID
V-02904-01
Encounter Date
09/22/2008
Last
Sandoval
First
Sandra
DOB
01/28/1972
County
Forsyth
Street
2215 Saxoy Trace
City
Alpharetta
State
GA
Zip
30005-
Cell
(770) 572-0052
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
High school graduate

Spouse Information

Last
Ruiz
First
Fernando
DOB
10/13/1970
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
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
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
Diana Ruiz 08/08/1991 Parents Mexico
Diego Ruiz 08/21/1990 Parents Mexico
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
Consulado de Mexico