RAM-GUA-56

Code
RAM-GUA-56
Mercy ID
V-00164-01
Encounter Date
04/05/2000
Last
Ramirez
First
Guadalupe
DOB
09/30/1956
County
Dekalb
Street
1917 Meanville Dr
City
Chamblee
State
GA
Zip
30341-
Home
(770) 457-7130
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
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
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
Alejandro Andrade N/A N/A GA/USA
Cristo Castillo N/A N/A GA/USA
Edya Sanchez N/A N/A GA/USA
Elimelec Sanchez N/A N/A GA/USA
Jose Luis Andrade N/A N/A GA/USA
Noemi Andrade N/A N/A GA/USA
Victor Manuel Sanchez N/A N/A GA/USA
Yonic Castillo N/A N/A GA/USA
NOTES

Media Authoritation

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