Code
BAR-MAR-79
Mercy ID
V-03086-01
Encounter Date
06/04/2009
Last
Barragan
First
Maria ignacia
DOB
07/31/1979
County
Cobb
Street
5447 Helen Place
City
Mableton
State
GA
Zip
30126-
Cell
(770) 771-1020
Other
(770) 948-8350
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Rodriguez
First
Abel
DOB
08/05/1973
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
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Abel Eric Rodriguez 01/23/2008 Parents GA/USA
Heladio Rodriguez 07/28/2001 Parents GA/USA
Jesus Rodriguez 12/25/1998 Parents GA/USA
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
TV