RAM-MAR-56

Code
RAM-MAR-56
Mercy ID
V-01844-01
Encounter Date
03/08/2005
Last
Ramirez
First
Martha
DOB
11/12/1956
County
Gwinnett
Street
5627 Wester Hill Dr.
City
Norcross
State
GA
Zip
30071-
Home
(770) 840-6045
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Ramirez
First
Rodrigo
DOB
03/13/1953
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
Cinthia Elizabeth Ramirez 08/17/1987 Mother GA/USA
Michael Ramirez 05/16/1991 Mother GA/USA
Tania Ramirez 04/14/1983 Mother GA/USA
Wendy Ramirez 12/27/1989 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By