HER-CYN-80

Code
HER-CYN-80
Mercy ID
V-02575-01
Encounter Date
08/13/2007
Last
Hernandez
First
Cynthia
DOB
07/21/1980
County
Gwinnett
Street
329 FreePort Drive
City
Lawrenceville
Probation Officer/Caseworker
L. Craismyle
State
GA
Zip
30045-
Cell
(678) 760-3592
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
No
DFCS Mandated
No
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
Luis Flores 05/04/2001 Mother w/Stepfather GA/USA
Mitchell Flores 02/09/2003 Mother w/Stepfather GA/USA
Yazmin Flores 11/25/2004 Mother w/Stepfather GA/USA

Former Spouse 1 Information

Last
Flores
First
Fernando
DOB
04/15/1978
Telephone
N/A
COB
Mexico
Home Owner
No
NOTES

Media Authoritation

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