ARZ-ADE-73

Code
ARZ-ADE-73
Mercy ID
V-01792-01
Encounter Date
12/24/2004
Last
Arzate
First
Adelaida
DOB
12/16/1973
County
Cobb
Street
329 Bell St.
City
Marietta
State
GA
Zip
30060-
Home
(770) 528-8231
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Garcia
First
Guillermo
DOB
07/11/1974
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
Annie Lisbeth Garcia 06/12/2002 Mother GA/USA
Juan Garcia 07/24/1999 Mother GA/USA
Nancy Garcia 07/11/2003 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
Corte/Damaryz