BAL-RON-61

Code
BAL-RON-61
Mercy ID
V-00605-02
Encounter Date
07/03/2001
Last
Balladares
First
Ronald
DOB
08/21/1961
County
Fulton
Street
6985 Roswell Rd. Apt. G
City
Atlanta
State
GA
Zip
30328-
Home
(770) 761-9481
Cell
(404) 237-1800
Family Status
Adult coupie-no children
COB
Nicaragua
Gender
Male
Housing
Doubling Up
Education Level
College Degree

Spouse Information

Last
Balladares
First
Kirsi
DOB
N/A
Address
New York
Telephone
N/A
COB
Dominican Rep
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
YES
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
Ana N/A Mother GA/USA
Kirsi N/A Mother GA/USA
Nataly N/A Mother GA/USA
Ronald N/A Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
K. Aleman
Referred By
Fulton County