RIV-ARA-60

Code
RIV-ARA-60
Mercy ID
V-00513-01
Encounter Date
09/16/2002
Last
Rivera
First
Araceli
DOB
05/09/1960
County
Gwinnett
Street
1021 Oak Chase Dr. #B
City
Tucker
State
GA
Zip
30084-
Home
(770) 256-8429
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Rivera
First
Pedro
DOB
07/25/1971
Address
N/A
Telephone
N/A
COB
Mexico
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Esmeralda Rivera 09/15/1999 Mother GA/USA
Hasia Saucedo 09/21/1984 Mother GA/USA
Jeffrey Rivera 09/15/1999 Mother GA/USA
Jordi Rivera 03/20/1998 Mother GA/USA
Jose Saucedo 08/11/1989 Mother 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
K. Aleman
Referred By
x7764 Ma. Eugenia