ARG-GRE-73

Code
ARG-GRE-73
Mercy ID
V-01319-01
Encounter Date
08/11/2003
Last
Arguelles
First
Gloria
DOB
05/09/1973
County
Gwinnett
Street
5522 Roman Point
City
Norcross
State
GA
Zip
30093-
Home
(678) 907-5043
Cell
(678) 368-1570
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Landaverde
First
Mauricio
DOB
08/22/1959
Address
N/A
Telephone
N/A
COB
El Salvador
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
YES

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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Edgar Lopez 07/20/1996 Mother GA/USA
Gabriela Contreras 02/25/1994 Mother GA/USA
Jose Armando Arguellos 02/23/1998 Mother 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
K. Aleman
Referred By
DFACS