ARQ-JUD-76

Code
ARQ-JUD-76
Mercy ID
V-00890-01
Encounter Date
04/10/2002
Last
Arqueta
First
Judith
DOB
06/01/1976
County
Gwinnett
Street
168 Oak Green Dr.
City
Lawrenceville
State
GA
Zip
30049-
Home
(678) 793-4737
Family Status
Adult coupie-no children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Alcaraz
First
Victor
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
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
YES
Consentimiento De Participar
YES

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
Ella es la amiga de Rosa Galindo y solo vino para acompañarla.

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
amiga de Rosa Galindo