UMA-MAR-66

Code
UMA-MAR-66
Mercy ID
V-00896-01
Encounter Date
04/15/2002
Last
Umaña
First
Maria
DOB
12/28/1966
County
Gwinnett
Street
3400 Sweetwater Rd. Apt. 11
City
Lawrencville
State
GA
Zip
30044-
Home
(770) 931-1652
Cell
(404) 867-4000
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Hernandez
First
Roberto
DOB
08/29/1965
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
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Andrea Concepcion Hernandez 08/11/1988 Mother GA/USA
Ruth Noemy Hernandez 11/20/1985 Mother GA/USA
Sara Isabel Hernandez 12/27/1989 Mother GA/USA
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 Rebecca