HEE-MAR-69

Code
HEE-MAR-69
Mercy ID
V-02970-01
Encounter Date
12/16/2008
Last
Heredia
First
Maria de lourdes
DOB
09/14/1969
County
Gwinnett
Street
1355 Graves Rd. Bldg.-2 Apt. 42
City
Norcross
State
GA
Zip
30093-
Home
(770) 939-9378
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
High school graduate

Spouse Information

Last
Sandoval
First
Rigoberto
DOB
02/15/1969
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
Claudia L. Sandoval 07/05/1994 Mother GA/USA
Julio C. Sandoval 02/02/1993 Mother GA/USA
nancy L. Sandoval 03/24/1999 Mother 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
J. Manzo
Referred By
Linea-Juana/TV- amiga