VAC-ROB-65

Code
VAC-ROB-65
Mercy ID
V-00281-02
Encounter Date
09/11/2000
Last
Vaca
First
Roberto
DOB
01/20/1965
County
Fulton
Street
4729 Buford Hwy. Apt H
City
Chamblee
State
GA
Zip
30341-
Home
(770) 216-9932
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
Preschool

Spouse Information

Last
Gonzalez
First
Carmelita
DOB
10/10/1962
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
YES
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
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
Alma Gonzalez 05/19/1994 Parents GA/USA
Carlos Gonzalez 02/11/1988 Parents GA/USA
Jorge Gonzalez 03/19/1999 Parents GA/USA
Roberto Gonzalez 09/19/1991 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
Y. Garcia
Referred By