RIV-DEI-71

Code
RIV-DEI-71
Mercy ID
V-03344-01
Encounter Date
06/16/2010
Last
Rivas
First
Deisy
DOB
03/01/1971
County
Cobb
Street
3731 Mecedonia Rd.
City
Marietta
State
GA
Zip
30127-
Cell
(404) 713-3798
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Rivas
First
Jose
Middle
A.
DOB
06/11/1965
Address
N/A
Telephone
N/A
COB
El Salvador
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
YES
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
No
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
Jennifer Rivas 11/28/2004 Parents GA/USA
Jimmy Rivas 09/10/2001 Parents GA/USA
Richie Rivas 03/01/1991 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
Sara Kim-llamo al cell de Griselda