CAR-JUA-80

Code
CAR-JUA-80
Mercy ID
V-02784-01
Encounter Date
05/16/2008
Last
Carmona
First
Juanita
DOB
10/11/1980
County
Gwinnett
Street
6187 Tracy Bally Dr.
City
Norcross
State
GA
Zip
30093-
Home
(770) 248-1290
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Ramirez
First
Nery
DOB
12/11/1968
Address
N/A
Telephone
N/A
COB
Guatemala
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
Greyson Ramirez 01/11/2004 Parents GA/USA
Nery Ramirez 05/08/1998 Parents GA/USA
Neyda Ramirez 04/12/2005 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