DEC-GIS-74

Code
DEC-GIS-74
Mercy ID
V-02166-01
Encounter Date
02/14/2006
Last
De casa
First
Gisela
DOB
11/23/1974
County
Gwinnett
Street
105 Hunter Ridge Ln # 105
City
Norcross
State
GA
Zip
30092-
Home
(770) 780-6191
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Ramos
First
Alfonzo
DOB
03/05/1969
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
Abraham Muñoz 03/31/1994 Mother GA/USA
Joselin Ramos 10/10/1989 Father GA/USA
Monica Ramos 01/27/2000 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
R. Gonzalez
Referred By