VAZ-MAR-60

Code
VAZ-MAR-60
Mercy ID
V-01119-01
Encounter Date
02/13/2003
Last
Vazquez
First
Martha
DOB
01/30/1960
County
Fulton
Street
1368 West Austin Rd
City
Decatur
State
GA
Zip
30032-
Home
(404) 289-2632
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Ramirez
First
Ruben
DOB
05/01/1965
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
YES
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
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
Alan Ramirez 08/28/1998 N/A GA/USA
Andy Ramirez 05/25/1996 N/A GA/USA
Conrado Herrera 12/11/1976 N/A GA/USA
Damaryz Herrera 08/08/1981 N/A GA/USA
Erick Ramirez 12/02/1985 N/A GA/USA
German Ramirez 07/25/1983 N/A GA/USA
Israel Herrera 07/28/1978 N/A GA/USA
Martha Herrera 12/31/1986 N/A GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By