ARI-MAR-76

Code
ARI-MAR-76
Mercy ID
V-01789-01
Encounter Date
12/21/2004
Last
Arias
First
Maria de lourdes
DOB
08/20/1976
County
Dekalb
Street
3583 Buford Hwy # 2-A
City
Atlanta
State
GA
Zip
30329-
Cell
(678) 973-7210
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Navarrete
First
Guillermo
DOB
01/12/1976
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Cristopher Bautista 11/09/1999 Mother w/Stepfather GA/USA
Joary Guadalupe Navarrete 12/08/2010 Parents GA/USA
Omar Navarrete 08/11/2007 Parents GA/USA
William Navarrete 05/19/2008 Parents GA/USA

Former Spouse 1 Information

Last
Bautista
First
Rafael
DOB
01/30/1975
Telephone
N/A
COB
Mexico
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
K. Aleman
Referred By
linea