RAM-JUL-73

Code
RAM-JUL-73
Mercy ID
V-01316-01
Encounter Date
08/13/2003
Last
Colmenares
First
Julia
DOB
04/06/1973
County
Dekalb
Street
212 Brook Druid Ave
City
Atlanta
State
GA
Zip
30340-
Home
(770) 374-5048
Cell
(770) 374-5048
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Zarate
First
Jose
DOB
03/05/1966
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
Claudia Cruz 02/08/1995 Grandmother Mexico
Humberto Zarate Colmenares 05/24/2001 Parents GA/USA
Isael Cruz 12/10/1999 Grandmother Mexico
Ismael Cruz 12/08/1992 Grandmother Mexico
NOTES
aka. Ramirez, Julia

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