RAN-MAR-58

Code
RAN-MAR-58
Mercy ID
V-02264-01
Encounter Date
05/30/2006
Last
Rangel
First
Maria
DOB
03/20/1958
County
Gwinnett
Street
not given
City
Lawrenceville
State
GA
Zip
00000-
Home
(678) 571-8350
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Other

Spouse Information

Last
Rangel
First
Jose
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
Alicia Rangel 07/29/1997 Mother GA/USA
Celia Maria Rangel 09/07/1993 Mother GA/USA
David Tatila 01/21/1990 Mother w/Stepfather GA/USA
Malieta Tatila 03/18/1988 Mother w/Stepfather GA/USA
Vildrida Galindo 05/09/1986 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
R. Gonzalez
Referred By