ARI-ASU-69

Code
ARI-ASU-69
Mercy ID
V-01739-01
Encounter Date
10/27/2004
Last
Arismendis
First
Asuncion
DOB
08/15/1969
County
Gwinnett
Street
5514 Stanford Village Lane Bld 28
City
Norcross
State
GA
Zip
30071-
Home
(770) 446-7131
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Wilson
First
Odis
DOB
08/25/1952
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
Alejandro Viscarra 12/17/1986 Grandmother GA/USA
Carolina Viscarra 02/15/1991 Mother GA/USA
Fabiola Viscarra 10/03/1991 Mother GA/USA
William Wilson 05/28/2004 Mother 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
Lilburn