ARE-CLA-68

Code
ARE-CLA-68
Mercy ID
V-02451-01
Encounter Date
03/28/2007
Last
Arenas
First
Claudia
DOB
10/30/1968
County
Rockdale
Street
27 skyline Dr.
City
Conyers
State
GA
Zip
30012-
Cell
(404) 452-6237
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Zendejas
First
Enrique
DOB
N/A
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
Angel Arenas 12/03/1993 Mother w/Stepfather GA/USA
Beatriz Arenas 08/16/1990 Mother w/Stepfather GA/USA
Javier Arenas 07/17/1992 Mother w/Stepfather GA/USA

Former Spouse 1 Information

Last
Pedraza
First
Javier
DOB
N/A
Telephone
N/A
COB
Mexicano
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
J. Manzo
Referred By
Linea-Juana