ARR-ELI-70

Code
ARR-ELI-70
Mercy ID
V-02524-01
Encounter Date
06/20/2007
Last
Arreola
First
Elizabeth
DOB
11/28/1970
County
Gwinnett
Street
2178 Rockdale Cr.
City
Snellville
State
GA
Zip
30078-
Cell
(678) 725-0809
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Romero
First
Hipolito
DOB
N/A
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
YES
Gwinnett
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
YES
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
Angel Romero 11/03/2005 Parents GA/USA
Dulce venegas 01/13/1992 Aunt Florida
Edith Romero 11/14/1998 Parents GA/USA
Hipolito Romero Jr. 09/02/2002 Parents GA/USA
Steve Romero 06/08/2000 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Juana