RAM-MAR-79

Code
RAM-MAR-79
Mercy ID
V-01904-01
Encounter Date
05/06/2005
Last
Ramirez
First
Maria leydi
DOB
02/01/1979
County
Fulton
Street
41355 Northcliff Valley Way
City
Atlanta
State
GA
Zip
30319-
Home
(678) 760-6395
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Henriquez
First
Jose florentin
DOB
11/09/1971
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
YES
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
As A Child
YES
Relative
No
Stranger
YES
As An Adult
YES
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Dulce Stephany Henriquez 01/21/2003 Mother GA/USA
Jennifer J. Henriquez 02/10/2007 Mother GA/USA
Lesli Johana Henriquez 10/19/1999 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
Policia William/Damaryz