MEJ-ERI-75

Code
MEJ-ERI-75
Mercy ID
V-00142-01
Encounter Date
03/15/2000
Last
Mejia
First
Erika
DOB
07/22/1975
County
Gwinnett
Street
430 freeport dr
City
Lawrenceville
State
GA
Zip
30045-
Home
(770) 962-9158
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Transitional
Education Level
some high school

Spouse Information

Last
Huerta
First
Edgar
DOB
12/08/1974
Address
N/A
Telephone
N/A
COB
Mexico
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
alejandro huerta 01/02/1999 Parents GA/USA
edgar huerta jr 01/03/1997 Parents GA/USA
NOTES

Media Authoritation

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