CRU-CEC-75

Code
CRU-CEC-75
Mercy ID
V-03325-01
Encounter Date
05/14/2010
Last
Cruz
First
Cecilia
DOB
11/22/1975
County
Gwinnett
Street
3752 Guthrir Cr.
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 885-0896
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Rodriguez
First
Daniel
DOB
07/10/1984
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
Andrea Mojica 04/12/1999 Mother GA/USA
Angel A. Santiago 08/05/1995 Mother GA/USA
Edgar Santiago 06/15/1994 Mother GA/USA
Esperanza Mojica 09/09/2002 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Juana