RAM-FRA-71

Code
RAM-FRA-71
Mercy ID
V-03477-01
Encounter Date
11/26/2010
Last
Ramirez
First
Francisca
DOB
07/15/1971
County
Gwinnett
Street
1149 Guernsey Dr.
City
Larenceville
State
GA
Zip
30043-
Home
(770) 339-1735
Cell
(770) 318-0038
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Ramirez
First
Moises
DOB
01/28/1970
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
YES
Consentimiento De Participar
YES

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
Angelica Ramirez 04/05/2002 Parents GA/USA
Cindy Ramirez 02/21/1991 Parents GA/USA
Johana Ramirez 05/06/1995 Aunt GA/USA-Paternos
Kathy Ramirez 01/11/1999 Parents GA/USA
Moises Ramirez 01/16/1993 Parents GA/USA
NOTES

Media Authoritation

DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
DFCS