HER-MEL-74

Code
HER-MEL-74
Mercy ID
V-02885-01
Encounter Date
09/05/2008
Last
Herrera
First
Melisa
DOB
04/08/1974
County
Gwinnett
Street
1143 Balvoa Court # D
City
Norcross
State
GA
Zip
30093-
Cell
(678) 598-2624
Other
(678) 668-3604
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Herrera
First
Mauricio
DOB
04/09/1979
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
Nathan Saucedo 10/03/2001 Mother w/Stepfather GA/USA
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
linea-Griselda