HER-KAR-73

Code
HER-KAR-73
Mercy ID
V-00058-01
Encounter Date
01/27/2000
Last
Hernandez
First
Carlota
DOB
07/17/1973
County
Dekalb
Street
4096 Phil Niekro Parkway
City
Norcross
State
GA
Zip
30093-
Home
(678) 437-0614
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Jose
First
Laboy
Middle
L.
DOB
11/24/1969
Address
N/A
Telephone
(770) 242-5991
COB
EEUU
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
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
Jasmin Lavoy 01/04/1997 Parents GA/USA
Jose Javier Lavoy 11/05/1999 Parents GA/USA
Lesly Cristal Lavoy 07/06/1998 Parents 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
Y. Garcia
Referred By