RAM-BEA-71

Code
RAM-BEA-71
Mercy ID
V-01320-01
Encounter Date
08/19/2003
Last
Ramirez
First
Beatriz
DOB
03/04/1971
County
Gwinnett
Street
869 Wytower Trail
City
Norcross
State
GA
Zip
30093-
Home
(770) 564-1317
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Lopez
First
Miguel
Middle
A.
DOB
08/12/1970
Address
N/A
Telephone
N/A
COB
Guatemala
Home Owner
No
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
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Amy M. Lopez 09/03/1995 Parents GA/USA
Cecilia G. Lopez 09/10/2004 Mother GA/USA
Giselle Lopez 07/19/1993 Parents GA/USA
Katie I Lopez 05/01/1999 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
K. Aleman
Referred By
x3737 Damaryz