RAM-LUC-87

Code
RAM-LUC-87
Mercy ID
V-03102-01
Encounter Date
06/26/2009
Last
Ramirez
First
Lucely
DOB
03/18/1987
County
Clayton
Street
999 NO LA QUISO DAR
City
Forest park
State
GA
Zip
30297-
Cell
(404) 573-2089
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Ramirez
First
Alejandro
DOB
10/05/1987
Address
N/A
Telephone
N/A
COB
Uruguay
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
YES

Children

NAME DOB LIVING WITH STATE/COUNTRY
Justin Ramirez 10/24/2007 Parents GA/USA
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-Juana