Code
BAR-ARA-70
Mercy ID
V-01400-01
Encounter Date
11/06/2003
Last
Barreto
First
Araceli
DOB
12/22/1970
County
Gwinnett
Street
479 Gainer St.
City
Buford
State
GA
Zip
30518-
Home
(770) 932-1766
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Andrade
First
Avelardo
DOB
03/27/1971
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
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
Agustin Andrade 08/15/2001 Mother GA/USA
Avelardo Hernandez 10/02/1997 Mother GA/USA
Gessica Barreto 05/02/1996 Mother GA/USA
Maria Vasquez 11/08/1991 Mother GA/USA
Pedro Velazquez 09/07/1993 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
x3737 Damaryz