ARG-DAR-82

Code
ARG-DAR-82
Mercy ID
V-01953-01
Encounter Date
07/05/2005
Last
Argueta
First
Daris
DOB
02/01/1982
County
Gwinnett
Street
6259 S. Norcross
City
Tucker
State
GA
Zip
30084-
Home
(678) 923-8244
Work
(770) 717-5297
Other
(404) 484-2776
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Moreno
First
Roberto
DOB
09/25/1976
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
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
Lidia Ventura 12/04/1997 Grandparents GA/USA
Sarabi Moreno 11/24/2004 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
K. Aleman
Referred By