HER-VAL-54

Code
HER-VAL-54
Mercy ID
V-00134-01
Encounter Date
01/10/2000
Last
Hernandez
First
Valentina
DOB
10/02/1954
County
Dekalb
Street
2095 burton plaza lane
City
Atlanta
State
GA
Zip
30319-
Home
(404) 634-4574
Family Status
Adult coupie-no children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Martinez
First
Cesar
DOB
05/31/1958
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
gaby del carmen 04/26/1986 Grandmother GA/USA
gloria marlene bonilla 04/24/1978 Grandmother GA/USA
jose alfredo bonilla 01/01/1983 Grandmother GA/USA
jose elmer bonilla 04/20/1980 Grandmother GA/USA
jose martir bonilla 03/08/1976 Cousin GA/USA
victor manuel bonilla 04/16/1974 Adulto/Casado GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
S. Aviña
Referred By