ARE-JUA-66

Code
ARE-JUA-66
Mercy ID
V-02344-01
Encounter Date
10/30/2006
Last
Arenas
First
Juana
DOB
02/24/1966
County
Fulton
Street
185 West Lane Lt. # 270
City
Fairburn
State
GA
Zip
30213-
Home
(770) 774-8729
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Ledesma
First
Luis
Middle
A.
DOB
10/08/1970
Address
N/A
Telephone
N/A
COB
Panamá
Home Owner
No
Driver
No
Home Owner
YES
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
Arturo Cisneros 04/19/1992 Mother w/Stepfather GA/USA
Genesis Cisneros 03/19/1993 Mother w/Stepfather GA/USA
Melanie Ledesma 06/16/2001 Parents GA/USA
Michelle Ledesma 06/12/1999 Parents GA/USA
Roberto Cisneros 03/07/1990 N/A GA/USA-Carcel

Former Spouse 1 Information

Last
Cisneros
First
Roberto
DOB
11/24/1964
Telephone
N/A
COB
Mexicano
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By