GUE-HEN-73

Code
GUE-HEN-73
Mercy ID
V-02293-02
Encounter Date
08/08/2006
Last
Guevara
First
Henry
DOB
08/22/1973
County
Gwinnett
Street
735 Marthas Drive
City
Lawrenceville
State
GA
Zip
30045-
Home
(770) 963-8122
Cell
(404) 697-4739
Family Status
Two parent family w/children
COB
El Salvador
Gender
Male
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Hernandez
First
Yesenia
DOB
10/10/1976
Address
N/A
Telephone
(770) 963-8122
COB
El Salvador
Home Owner
No
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
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
Brenda Guevara 08/13/2002 Parents GA/USA
Cristobal Hernandez 05/24/1999 Parents GA/USA
Jenifer Guevara 08/04/2004 Parents GA/USA
Keylin Guevara 07/18/2001 Parents 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
J. Manzo
Referred By