Code
HER-YAN-80
Mercy ID
V-01183-01
Encounter Date
04/03/2003
Last
Hernandez
First
Yanet
DOB
11/25/1980
County
Fulton
Street
501 Connell Ave. D-7
City
Atlanta
State
GA
Zip
30315-
Home
(404) 762-9021
Family Status
Two parent family w/children
COB
Cuba
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Perez
First
Felix
DOB
N/A
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
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
Fernando Sanchez Hernandez 08/25/2002 Mother GA/USA
Vanessa E. Perez Hernandez 11/18/1999 Father 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
Partner