TOL-ROX-72

Code
TOL-ROX-72
Mercy ID
V-00216-01
Encounter Date
05/18/2000
Last
Tolentino
First
Roxana
DOB
09/24/1972
County
Dekalb
Street
3510 Buford Hwy J-6
City
Atlanta
State
GA
Zip
30329-
Home
(404) 638-0594
Family Status
Two parent family w/children
COB
Argentina
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Ferreira
First
Manuel
DOB
04/06/1966
Address
N/A
Telephone
N/A
COB
Dominican Rep
Home Owner
No
Driver
No
Home Owner
YES
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
Alan 11/05/1998 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
Y. Garcia
Referred By
x7764 Liliana Yellow Pages