ARI-MAR-82

Code
ARI-MAR-82
Mercy ID
V-02553-01
Encounter Date
07/23/2007
Last
Ariza
First
Maribel
DOB
08/10/1982
County
Dekalb
Street
3967 Doral Dr.
City
Doraville
State
GA
Zip
30360-
Home
(678) 437-0782
Cell
(678) 598-8487
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Rivera
First
Edgar
DOB
05/14/1987
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
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
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Ashley Rivera 02/23/2008 Parents GA/USA
Edgar Rivera 05/04/2001 Parents GA/USA
Monserrat Rivera 02/26/2003 Parents GA/USA

Former Spouse 1 Information

Last
Rivera
First
Edgar
DOB
05/14/1987
Telephone
N/A
COB
Mexico
Home Owner
No
NOTES
***2009. No se hizo Annual Return.***

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