HER-BEA-73

Code
HER-BEA-73
Mercy ID
V-01466-01
Encounter Date
01/13/2004
Last
Hernandez
First
Beatriz
DOB
03/10/1973
County
Gwinnett
Street
6259 South North Cross
City
Tucker
State
GA
Zip
30084-
Home
(678) 406-9813
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Garcia
First
Ulises
DOB
04/24/1973
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
Daniel Gonzalez 03/08/1988 Mother GA/USA
Emily Gonzalez 10/13/2003 Mother w/Stepfather GA/USA
Jennifer Hernandez 07/17/2008 Mother w/Stepfather GA/USA
Jessica Gonzalez 08/22/1996 Mother w/Stepfather GA/USA
Laura Gonzalez 08/24/1993 Mother w/Stepfather GA/USA
Stephanie Gonzalez 10/13/2003 Mother w/Stepfather GA/USA

Former Spouse 1 Information

Last
Gonzalez
First
Raul
DOB
08/07/1968
Telephone
N/A
COB
Mexico
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
x3737 Damaryz