PIN-ARA-74

Code
PIN-ARA-74
Mercy ID
V-00258-01
Encounter Date
08/08/2000
Last
Pineda
First
Aracely
DOB
03/22/1974
County
Clayton
Street
685 melrose dr
City
Forest park
State
GA
Zip
30297-
Home
(404) 627-0486
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Transitional
Education Level
Grade school

Spouse Information

Last
Ruiz
First
Honario
DOB
12/30/1976
Address
same
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
jonathan ruiz 05/18/2000 Parents GA/USA
yaricksa a pineda 09/12/1993 Grandmother 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
D. Gomez
Referred By