ARR-PAT-69

Code
ARR-PAT-69
Mercy ID
V-01537-01
Encounter Date
03/24/2004
Last
Arrascue
First
Patricia
DOB
05/03/1969
County
Fulton
Street
608 Gnarattoga Dr.
City
Alpharetta
State
GA
Zip
30022-
Home
(404) 454-6622
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Nique
First
Luis alberto
DOB
12/20/1965
Address
N/A
Telephone
N/A
COB
Perú
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
Andrea Nique 03/01/1998 Parents GA/USA
Due date May 04 N/A N/A GA/USA
Jean Carlos Nique 12/30/1994 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