HER-YES-76

Code
HER-YES-76
Mercy ID
V-02293-01
Encounter Date
08/08/2006
Last
Hernandez
First
Yesenia
DOB
10/10/1976
County
Cherokee
Street
2234 Hearthstone Lanving Dr.
City
Canton
State
GA
Zip
30114-
Cell
(404) 512-7464
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
Home Owner
YES
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
YES
Gwinnett
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
Consentimiento De Participar
YES

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
Brenda Guevara 08/13/2002 Mother GA/USA
Caterine Guevara 08/04/2004 Mother GA/USA
Cristobal Hernandez 05/24/1999 Mother GA/USA
Keyka Guevara 06/18/2001 Mother GA/USA

Former Spouse 1 Information

Last
Guevara
First
Henry
DOB
08/22/1973
Telephone
N/A
COB
El Salvador
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
DFCS Gwinnett