RAM-ALE-71

Code
RAM-ALE-71
Mercy ID
V-03262-01
Encounter Date
02/16/2010
Last
Ramirez
First
Alejandra
DOB
01/08/1971
County
Gwinnett
Street
2703 Treehouse Pkway
City
Norcross
State
GA
Zip
30093-
Cell
(678) 663-2056
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
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
Alex Hernandez 07/24/2004 Mother GA/USA
Alexa Hernandez 08/12/2009 Mother GA/USA
Giselle hernandez 03/22/2000 Mother GA/USA

Former Spouse 1 Information

Last
Hernandez
First
Carlos
DOB
07/08/1967
Telephone
N/A
COB
El Salvador
Home Owner
YES
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