HER-GUD-76

Code
HER-GUD-76
Mercy ID
V-03084-01
Encounter Date
05/20/2009
Last
Hernandez
First
Gaudencia
DOB
06/19/1976
County
Fulton
Street
5320 Roswell Road
City
Atlanta
State
GA
Zip
30342-
Cell
(770) 292-8365
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Castro
First
Isabel
DOB
03/23/1976
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
YES
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
Antonia Castro 12/08/2003 Parents GA/USA
Jorge L. Hernandez 06/09/1995 Mother w/Stepfather GA/USA
Maria Castro 12/08/2003 Parents 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
Pilar Castañeda