HER-FEI-85

Code
HER-FEI-85
Mercy ID
V-03275-01
Encounter Date
03/30/2010
Last
Hernandez
First
Felisa
DOB
03/15/1985
County
Clayton
Street
7677 Tara Boulevard
City
Jonesboro
State
GA
Zip
30236-
Cell
(404) 389-7834
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
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
YES
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
Kerry A. Hernandez 09/08/2008 Mother GA/USA

Former Spouse 1 Information

Last
Hernandez
First
Angel
DOB
08/02/1985
Telephone
N/A
COB
Mexico
Home Owner
YES
NOTES
Angel hernandez esta detenido 3/30/10

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-Juana