MEJ-MRY-77

Code
MEJ-MRY-77
Mercy ID
V-03462-01
Encounter Date
10/26/2010
Last
Mejia
First
Maryuri
DOB
01/06/1977
County
Dekalb
Street
2761 Shallowford Rd. #-A
City
Chamblee
State
GA
Zip
30341-
Cell
(770) 885-6938
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Single Family
Education Level
some high 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
Adriana Ramirez 12/31/2000 Mother GA/USA
Antony Mejia 07/27/1999 Grandmother Honduras-Paterna
Danesis Ramirez 03/06/2008 Grandmother GA/USA
Maryure Joselyn Ramirez 11/01/1993 Mother GA/USA
Rosa Angelina Ramirez 03/15/1996 Grandmother Honduras-Paterna
NOTES

Media Authoritation

DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Griselda