HER-JAV-73

Code
HER-JAV-73
Mercy ID
V-02258-02
Encounter Date
06/05/2006
Last
Hernandez
First
Javier
DOB
04/19/1973
County
Dekalb
Street
3610 Buford Hewy
City
Atlanta
State
GA
Zip
30329-
Cell
(404) 389-3967
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Rodriguez
First
Erika
DOB
12/03/1978
Address
N/A
Telephone
(404) 325-5021
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Dana Hernandez 03/26/2001 Mother GA/USA
Kimberly Hernandez 03/15/2002 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
R. Gonzalez
Referred By
Dekalb Court