HER-MEL-65

Code
HER-MEL-65
Mercy ID
V-00196-01
Encounter Date
05/09/2000
Last
Hernandez
First
Melinda
DOB
07/11/1965
County
Gwinnett
Street
4039 Steelwater Dr.
City
Duluth
State
GA
Zip
30096-
Home
(678) 924-9923
Family Status
Single parent w/children
COB
Nicaragua
Gender
Female
Housing
Not Homeless
Education Level
Some College

Spouse Information

Last
Jerry
First
Hernandez
DOB
04/13/1968
Address
N/A
Telephone
(706) 206-8282
COB
Nicaragua
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
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
Grethel Hernandez 08/13/1988 Mother GA/USA
Jean Carlos Hernandez 01/11/1991 Mother GA/USA
Jerry Hernandez 10/20/1989 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
Y. Garcia
Referred By