RES-ARL-82

Code
RES-ARL-82
Mercy ID
V-00342-01
Encounter Date
11/15/2000
Last
Resendis
First
Arlin
DOB
01/21/1982
County
Gwinnett
Street
3087 Ferrite Loop Apt -B
City
Lawrencevilli
State
GA
Zip
30044-
Home
(678) 380-6968
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Alvares
First
Gabriel
DOB
01/08/1972
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
Arlin Alvarez 10/20/2000 Parents GA/USA
Gabriel Alvarez 10/21/1997 Parents GA/USA
Leonardo Alvarez 08/25/1999 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
D. Gomez
Referred By