ARI-MAR-71

Code
ARI-MAR-71
Mercy ID
V-01756-01
Encounter Date
11/15/2004
Last
Arias
First
Maria
DOB
10/17/1971
County
Dekalb
Street
3852 McRoy Apt D3
City
Doraville
State
GA
Zip
30340-
Home
(000) 000-0000
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Adult, no formal education

Spouse Information

Last
Sanchez
First
Gabriel
DOB
05/24/1968
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
Leticia Rosalina Sanchez 10/22/1981 Parents GA/USA
Sergio Adolfo Sanchez 09/27/1980 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
Amigo y Damaryz