ARR-MAR-69

Code
ARR-MAR-69
Mercy ID
V-00938-01
Encounter Date
05/30/2002
Last
Arreola
First
Carmen
DOB
11/04/1969
County
Dekalb
Street
6682-E Peachtree Ind. Blvd.
City
Doraville
State
GA
Zip
30360-
Home
(678) 525-9536
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Luna
First
Salvador
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
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
YES
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
Juan José Córtez(Arreola as of 4/19/04) 10/29/1996 Mother GA/USA
Oscar Arreola 09/14/1992 Mother GA/USA

Former Spouse 1 Information

Last
Cortez
First
Armando
DOB
N/A
Telephone
N/A
COB
1402 winter Park Dr.
Home Owner
No
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