HER-CEL-69

Code
HER-CEL-69
Mercy ID
V-00626-01
Encounter Date
08/08/2001
Last
Hernandez
First
Celia
DOB
02/10/1969
County
Fulton
Street
5320 Roswell Rd.
City
Atlanta
State
GA
Zip
30342-
Home
(404) 943-9055
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up

Spouse Information

Last
Pineda
First
Antonio
DOB
09/03/1972
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
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
Armando Jovany Navarrete 09/03/1989 Grandmother Mexico
Jose Ivan Navarrete 06/16/1987 Grandmother Mexico
Karina Navarrete 06/26/1995 Grandmother GA/USA
Samuel Simons 04/11/1999 Father Mexico
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
x7764 Ma. Eugenia