HER-SON-64

Code
HER-SON-64
Mercy ID
V-00670-01
Encounter Date
08/24/2001
Last
Hernandez
First
Sonia
DOB
01/14/1964
County
Forsyth
Street
1006 Triwle Gap Rd. Apt 23
City
Cummings
State
GA
Zip
30040-
Home
(770) 218-8910
Cell
(678) 665-2411
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Carreño
First
Roberto
DOB
N/A
Address
N/A
Telephone
N/A
COB
Cuba
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
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Isabel Alicia Carreño 07/31/2002 Mother GA/USA
Sergio Castillo 03/16/1992 Mother GA/USA
Sonia Rocio Castillo 02/18/1987 Adulto/Casado GA/USA

Former Spouse 1 Information

Last
Castillo
First
Sergio
DOB
12/09/1965
Telephone
N/A
COB
Mexicano
Home Owner
No
NOTES

Media Authoritation

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