MAR-PET-71

Code
MAR-PET-71
Mercy ID
V-02397-01
Encounter Date
01/23/2007
Last
Marroquin
First
Petronila
DOB
07/28/1971
County
Gwinnett
Street
308 Park Crossing Way
City
Lilburn
State
GA
Zip
30047-
Cell
(678) 933-7640
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Ramirez
First
Moises
DOB
12/06/1966
Address
N/A
Telephone
N/A
COB
Guatemala
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
Duvan Ramirez 10/24/1991 Mother GA/USA
Michelle Ramirez 10/25/1996 Mother GA/USA
Patricia Ramirez 11/12/1997 Mother GA/USA
NOTES
*****2008, NO SE CONTACTO, NO A.R.*****

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By