RUI-ROB-73

Code
RUI-ROB-73
Mercy ID
V-00393-02
Encounter Date
01/23/2001
Last
Ruiz
First
Roberto
DOB
12/01/1973
County
Fulton
Street
381 Industrial Ln.
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 522-9320
Cell
(678) 378-7956
Family Status
Adult coupie-no children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Lamber
First
Peggy
DOB
05/31/1947
Address
same
Telephone
(678) 378-7672
COB
USA
Home Owner
YES
Driver
No
Home Owner
No
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
NOTES
Regraso al programa.

Media Authoritation

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