CRU-ARI-65

Code
CRU-ARI-65
Mercy ID
V-00103-02
Encounter Date
09/13/2000
Last
Cruz
First
Aristeo
DOB
05/05/1965
County
Dekalb
Street
3201 Henderson Mill Rd. Apt. 7A
City
Atlanta
State
GA
Zip
30341-
Home
(678) 725-9414
Cell
(678) 725-0565
Family Status
Single parent w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Aparicio
First
Hermelinda
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
YES
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
Javier Cruz 02/01/1983 Parents GA/USA
Tania Cruz 12/09/1986 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
K. Aleman
Referred By