DEA-MAR-81

Code
DEA-MAR-81
Mercy ID
V-02924-01
Encounter Date
10/24/1981
Last
De anda
First
Maria de la luz
DOB
06/03/1981
County
Gwinnett
Street
878 Green Hill Lane # A
City
Norcross
State
GA
Zip
30093-
Cell
(404) 567-2683
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Preschool

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
Brayant E. Ramirez 09/27/2003 Mother GA/USA
Lizania G. Ramirez 04/04/2007 Mother GA/USA
Marjorie Ramirez 06/17/2008 Mother GA/USA

Former Spouse 1 Information

Last
Ramirez
First
Eduardo
DOB
10/11/1977
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
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Griselda