PAN-ONE-68

Code
PAN-ONE-68
Mercy ID
V-00097-02
Encounter Date
02/08/2000
Last
Pano
First
Onesimo
DOB
08/28/1968
County
Dekalb
Street
1411 N. Cliff Valley Way Apt. D
City
Atlanta
State
GA
Zip
30319-
Home
(404) 325-9899
Cell
(404) 671-6390
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Ramirez
First
Irinea
DOB
06/03/1969
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
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
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
Biridiana Pano 07/02/1987 Grandparents GA/USA
Kenia F Pano 05/21/1997 Grandparents GA/USA
Lius F Pano 09/26/1994 Grandparents GA/USA
Lixandra Pano N/A Parents GA/USA
Onesimo Pano 01/12/1990 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
D. Gomez
Referred By