MOL-ARA-80

Code
MOL-ARA-80
Mercy ID
V-00304-01
Encounter Date
10/04/2000
Last
Molina
First
Araceli
DOB
04/28/1980
County
Gwinnett
Street
5099 Victor Trail
City
Norcross
State
GA
Zip
30071-
Home
(770) 572-3219
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Other

Spouse Information

Last
Morales
First
Juan
Middle
J.
DOB
08/11/1977
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
Juan Carlos Molina 04/11/2002 Mother GA/USA
Juliana Morales 02/18/1997 Mother GA/USA
KevinSteven Morales 08/04/1999 Mother GA/USA
Nelsy Briayt Molina 11/08/2000 Mother 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
x7764 Ma Eugenia