RAN-JOS-70

Code
RAN-JOS-70
Mercy ID
V-02216-02
Encounter Date
04/17/2006
Last
Rangel
First
Jose
DOB
04/03/1970
County
Dekalb
Street
3510 Buford Hwy
City
Atlanta
State
GA
Zip
30329-
Home
(404) 636-6955
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Other
Education Level
College Degree

Spouse Information

Last
Hernandez
First
Alejandra
DOB
03/12/1971
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
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
Andrea Gallegos 04/03/1996 Parents GA/USA
Thalia Gallegos 03/11/1997 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
R. Gonzalez
Referred By
Dekalb Court