Code
RUE-CLA-77
Mercy ID
V-02976-01
Encounter Date
12/23/2008
Last
Rueda
First
Claudia
DOB
02/04/1977
County
Other
Street
24642 Volterra Ct. Lutz
City
Florida
State
FL
Zip
33559-
Home
(813) 948-0475
Family Status
Adult couple-no children
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Gil
First
Jose neftali
DOB
11/01/1957
Address
N/A
Telephone
N/A
COB
Colombia
Home Owner
YES
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No
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
Linea-Juana