GON-ANM-74

Code
GON-ANM-74
Mercy ID
V-02864-01
Encounter Date
08/04/2008
Last
Gonzalez
First
Ana maria
DOB
09/02/1974
County
Gwinnett
Street
2020 Applen Rich
City
Sugar hill
State
GA
Zip
30158-
Cell
(678) 887-2773
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Zamarripa
First
Luis
DOB
08/16/1969
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
Ana Maria Zamarripa 09/30/2005 Parents GA/USA
Cesar Lopez 12/28/2001 Mother w/Stepfather GA/USA
Jose Estrada 06/14/2007 Parents GA/USA
Maria I. Lopez 01/18/1994 Father w/Stepmother GA/USA
Mia Zamarripa 11/17/2006 Parents GA/USA
Rey Lopez 08/26/1992 Mother w/Stepfather GA/USA

Former Spouse 1 Information

Last
Lopez
First
Reynaldo
DOB
N/A
Telephone
N/A
COB
N/A
Home Owner
No
NOTES

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
linea-Juana