RAM-ZAI-73

Code
RAM-ZAI-73
Mercy ID
V-01118-01
Encounter Date
02/12/2003
Last
Ramirez
First
Zaida
DOB
10/12/1973
County
Cobb
Street
490 Windy Hill Rd Apt # 435
City
Smyrna
State
GA
Zip
30082-
Cell
(678) 608-9589
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Tello
First
Oscar
Middle
J.
DOB
09/06/1970
Address
N/A
Telephone
(678) 343-7516
COB
Argentina
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
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
YES
Relative
No
Stranger
YES
As An Adult
YES
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Genesis Gonzalez 03/13/1998 Mother GA/USA
Jordie Gonzalez 11/06/1994 Mother GA/USA
Kenneth Godoy 08/20/2001 Mother GA/USA

Former Spouse 1 Information

Last
Gonzalez
First
Ramiro
DOB
08/11/1973
Telephone
N/A
COB
Nicaragua
Home Owner
No

Former Spouse 2 Information

Last
L????Godoy
First
L?????Rony
DOB
N/A
Telephone
N/A
COB
Mexico
Home Owner
No

Former Spouse 3 Information

Last
L???Herrer
First
L??Jorge
DOB
05/12/1965
Telephone
N/A
COB
Mexico
Home Owner
No
NOTES

Media Authoritation

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