HER-FRA-66

Code
HER-FRA-66
Mercy ID
V-00674-01
Encounter Date
09/05/2001
Last
Hernandez
First
Francisca
DOB
10/06/1966
County
Gwinnett
Street
1545 Spender Dr.
City
Norcross
State
GA
Zip
30093-
Home
(770) 849-0629
Cell
(678) 313-8757
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Hernandez
First
Cornelio
DOB
02/02/1961
Address
N/A
Telephone
N/A
COB
Mexico
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
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Cristian Hernandez 06/17/1993 Parents GA/USA
Julio Cesar Ortiz 07/04/1988 Mother w/Stepfather GA/USA
Marisol Hernandez 06/17/1985 Mother w/Stepfather GA/USA
Michelle Hernandez 07/03/1995 Parents GA/USA
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
amiga/Mercedes Ramirez