ARC-JOS-65

Code
ARC-JOS-65
Mercy ID
V-00871-02
Encounter Date
04/30/2002
Last
Arce
First
Jose gustavo
DOB
01/22/1965
County
Dekalb
Street
2903 Alcoa Ct.
City
Chamblee
State
GA
Zip
30341-
Home
(678) 530-2075
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Pereyra
First
Reyna
DOB
04/24/1971
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
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
Alejandro Alanil 06/24/1994 Parents GA/USA
Gerardo Saldaña 10/11/1990 Parents GA/USA
Gustavo Arce 05/25/1997 Parents GA/USA
Marco Arce 03/26/2004 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
K. Aleman
Referred By
Dresden Elementary