MAR-CES-58

Code
MAR-CES-58
Mercy ID
V-00134-02
Encounter Date
11/03/1999
Last
Hernandez
First
Cesar
DOB
07/04/1958
County
Dekalb
Street
2095 burton plaza ln #8
City
Atlanta
State
GA
Zip
30319-
Home
(404) 634-4574
Family Status
Adult coupie-no children
COB
El Salvador
Gender
Male
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Hernandez
First
Valentina
DOB
N/A
Address
N/A
Telephone
N/A
COB
El Salvador
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
J. Perilla
Data Entry
S. Aviña
Referred By