OLE-ARS-82

Code
OLE-ARS-82
Mercy ID
V-03241-01
Encounter Date
01/27/2010
Last
Olea
First
Arsenia
DOB
08/11/1982
County
Gwinnett
Street
9928 West national Cr. Apt. C
City
Tucker
State
GA
Zip
30084-
Cell
(404) 707-7181
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Bernal
First
Rafael
DOB
10/24/1980
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
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Edwin O. Bernal 07/29/2003 Parents GA/USA
Jesus Bernal 02/05/2008 Mother w/Stepfather GA/USA
Jorger K. Bernal 08/18/2000 Parents GA/USA
Rosa I. Bernal 09/22/2005 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
J. Manzo
Referred By
linea de informacion-Juana