ARE-IRE-59

Code
ARE-IRE-59
Mercy ID
V-00348-01
Encounter Date
11/27/2000
Last
Arellano
First
Irene
DOB
04/05/1959
County
Dekalb
Street
3982 Doral Dr.
City
Doraville
State
GA
Zip
30360-
Home
(404) 247-8859
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Flores
First
Angel
DOB
10/15/1961
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
Angela Flores 10/19/1990 Parents GA/USA
Jhony Flores 07/03/1993 Parents GA/USA
Jose Luis Arellano 05/25/1972 Adulto/Soltero North Carolino
Roberto Estefan Arellano 03/09/1994 Grandparents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
x7764 Ma. Eugenia