VIL-NUV-77

Code
VIL-NUV-77
Mercy ID
V-02782-01
Encounter Date
05/13/2008
Last
Villeda
First
Nuvia
DOB
01/09/1977
County
Gwinnett
Street
1153 Balboa Ct.
City
Norcross
State
GA
Zip
30093-
Cell
(404) 551-6768
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
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
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Delilah Hernandez 07/19/2006 Mother GA/USA
Hilario Hernandez N/A Father w/Stepmother GA/USA
Marena I. Villeda 06/15/2001 Mother GA/USA

Former Spouse 1 Information

Last
Hernandez
First
Hilario
DOB
10/28/1964
Telephone
N/A
COB
Mexico
Home Owner
YES
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
Lilburn Elem.