LUN-GLO-69

Code
LUN-GLO-69
Mercy ID
V-00855-01
Encounter Date
02/21/2002
Last
Luna
First
Gloria
DOB
01/01/1969
County
Gwinnett
Street
1157 Forest Valley Ln. T-5
City
Norcross
State
GA
Zip
30093-
Home
(770) 925-0917
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Hernandez
First
Domingo
DOB
08/04/1963
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
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
Cristal Hernandez 10/15/2000 Mother GA/USA
Karen Hernandez 11/06/1993 Mother GA/USA
NOTES
aka De Luna

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
x7764 Rebecca/Lilburn Elementary (Karla Cuadra)