ARE-LUI-53

Code
ARE-LUI-53
Mercy ID
V-00332-01
Encounter Date
11/07/2000
Last
Arellano
First
Luisa
DOB
06/21/1953
County
Gwinnett
Street
1400 timberlane rd
City
Lawrenceville
State
GA
Zip
30045-
Home
(678) 344-0095
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Arellano
First
Roberto
DOB
08/07/1946
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
No
Consentimiento De Participar
No

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
ami melissa arellano 12/29/1997 Parents GA/USA
ana maria arellano 07/25/1977 Parents GA/USA
david arellano 07/18/1990 Parents GA/USA
elizabeth arellano 08/22/1993 Parents GA/USA
manuel arellano 05/07/1986 Parents GA/USA
neftaly arellano 07/27/1982 Parents GA/USA
roberto arellano 03/28/1971 Parents GA/USA
rodrigo arellano 11/16/1977 Parents GA/USA
rosa iris arellano 05/07/1986 Parents 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
S. Aviña
Referred By