TRE-ARA-84

Code
TRE-ARA-84
Mercy ID
V-02498-01
Encounter Date
05/21/2007
Last
Trejo
First
Araceli
DOB
01/27/1984
County
Dekalb
Street
2203 Plaster Rd. Apt. N-5
City
Atlanta
State
GA
Zip
30345-
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Gutierrez
First
Luis
DOB
09/21/1981
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
YES
Consentimiento De Participar
YES

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
Alonso Gutierrez 07/25/2003 Mother GA/USA
Daniel Gutierrez 05/08/2001 Mother GA/USA
Evelyn Gutierrez 05/03/2002 Mother GA/USA
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
Yashiva School-headstard