BEL-ARE-66

Code
BEL-ARE-66
Mercy ID
V-03524-01
Encounter Date
02/02/2011
Last
Bello
First
Arelis
DOB
07/11/1966
County
Gwinnett
Street
355 Sweetwater Rd. Apt. 8108
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 717-9231
Family Status
Adult couple-no children
COB
Dominican Rep
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
N/A
First
N/A
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
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
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
Ariel Lopez 10/01/1998 Father Canada
Jennifer Contreras 05/08/2002 Grandmother Materna
Jonathan Lopez 07/18/1991 Grandmother Materna
NOTES

Media Authoritation

DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
walkin