ARI-CON-77

Code
ARI-CON-77
Mercy ID
V-01511-01
Encounter Date
03/03/2004
Last
Arizmendi
First
Concepcion
DOB
04/23/1977
County
Gwinnett
Street
31 Gwinnett Dr.
City
Lawrenceville
State
GA
Zip
30045-
Home
(678) 754-9143
Cell
(678) 376-0239
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Estrada
First
Carlos
DOB
01/18/1977
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
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Areli Arismendis 11/21/1999 Aunt Mexico
Carlos Estrada 01/18/2003 Parents GA/USA
Erick Arismendis 03/21/1996 Aunt Mexico
Odette Estrada 12/25/2001 Parents 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
x1375 Damaryz