RAM-JOS-83

Code
RAM-JOS-83
Mercy ID
V-03417-02
Encounter Date
09/21/2010
Last
Ramos
First
Jose
DOB
01/05/1983
County
Fulton
Street
3804 Martin Luther King Jr. Dr.
City
Atlanta
State
GA
Zip
30331-
Cell
(404) 399-4278
Family Status
Single adult
COB
Honduras
Gender
Male
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Rodriguez
First
Olga
DOB
N/A
Address
N/A
Telephone
N/A
COB
Puerto Rico
Home Owner
YES
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
YES
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
YES
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
Brandon Simmons N/A Mother GA/USA
Embarazada 03/11/2011 N/A due date
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
linea-fulton court