RAM-ANA-70

Code
RAM-ANA-70
Mercy ID
V-02649-01
Encounter Date
11/16/2007
Last
Ramirez
First
Ana
DOB
02/12/1970
County
Cobb
Street
4925 Shallow Road
City
Kennesaw
State
GA
Zip
30144-
Cell
(404) 429-4698
Family Status
Two parent family w/children
COB
Perú
Gender
Female
Housing
Single Family
Education Level
Some College

Spouse Information

Last
Pajares
First
Jorge
DOB
03/22/1969
Address
N/A
Telephone
N/A
COB
Perú
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
Mathew Pajares 08/27/1999 Parents GA/USA
Mia Pajares 09/12/2004 Parents 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
J. Manzo
Referred By
linea-Juana