LIM-ERV-72

Code
LIM-ERV-72
Mercy ID
V-00079-02
Encounter Date
03/14/2000
Last
Lima
First
Hervin
DOB
09/15/1972
County
Gwinnett
Street
1396 Glynnview Circle
City
Lawrenceville
State
GA
Zip
30043-
Home
(770) 963-7998
Family Status
Two parent family w/children
COB
El Salvador
Gender
Male
Housing
Doubling Up
Education Level
College Degree

Spouse Information

Last
Lima-Diaz
First
Lorena
DOB
12/04/1974
Address
N/A
Telephone
N/A
COB
Guatemala
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
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
No
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
K. Aleman
Referred By