TOR-BRI-79

Code
TOR-BRI-79
Mercy ID
V-00719-01
Encounter Date
10/26/2001
Last
Torres
First
Bridelvina
DOB
10/22/1979
County
Gwinnett
Street
2029 Rockbridge Ct.
City
Norcross
State
GA
Zip
30093-
Home
(770) 409-1221
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Gonzalez
First
Carlos
DOB
03/24/1971
Address
N/A
Telephone
N/A
COB
El Salvador
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
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
Christy Hernandez 06/13/1997 Mother w/Stepfather GA/USA
Elmis Hernandez 09/15/1995 Mother w/Stepfather GA/USA
Judith Hernandez 12/02/1993 Mother w/Stepfather GA/USA

Former Spouse 1 Information

Last
Hernandez
First
Ely
DOB
12/16/1970
Telephone
N/A
COB
N/A
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