HER-EVA-69

Code
HER-EVA-69
Mercy ID
V-02235-01
Encounter Date
04/18/2006
Last
Hernandez
First
Eva
DOB
12/19/1969
County
Fulton
Street
2788 Deefor Ferry Rd Apt-991
City
Atlanta
State
GA
Zip
30318-
Home
(404) 228-6235
Cell
(404) 861-7775
Work
(770) 442-1126
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Venancio
First
Luis
DOB
12/14/1982
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
YES
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
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Abigail Mejia Hernandez 06/24/1994 Mother w/Stepfather GA/USA
Athsyry Venancio 03/12/2003 Parents GA/USA
Jairo Venancio 12/17/2001 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