RAM-REY-79

Code
RAM-REY-79
Mercy ID
V-03494-01
Encounter Date
12/16/2010
Last
Ramirez
First
Reyna
DOB
01/08/1979
County
Fulton
Street
4616 Roswell Road
City
Atlanta
State
GA
Zip
30342-
Cell
(678) 608-7481
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
YES
Consentimiento De Participar
YES

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
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Kathy Narciso 09/03/2005 Mother GA/USA
Katty Narciso 09/03/2005 Mother GA/USA
Maura Narciso 10/26/1998 Grandmother Mexico-Materna
Monica Narciso 04/01/2000 Grandmother Mexico-Materna

Former Spouse 1 Information

Last
Narciso
First
Mauro
DOB
03/03/1978
Telephone
N/A
COB
Mexico
Home Owner
No
NOTES

Media Authoritation

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