HER-ZOI-70

Code
HER-ZOI-70
Mercy ID
V-02153-01
Encounter Date
01/24/2006
Last
Hernandez
First
Zoila
DOB
01/17/1970
County
Gwinnett
Street
2102 Hopkins Mill Rd
City
Duluth
State
GA
Zip
30096-
Cell
(404) 729-2364
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Medrano
First
Tomas
DOB
09/03/1968
Address
N/A
Telephone
N/A
COB
El Salvador
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
No
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Iseald Medrano 09/04/1999 Parents GA/USA
Nery Jose Hernandez 12/01/1988 Parents GA/USA
Walter Medrano 02/05/1992 Parents GA/USA
Zoila Medrano 02/05/1992 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
R. Gonzalez
Referred By