HER-VIC-90

Code
HER-VIC-90
Mercy ID
O-00003-02
Mother ID
V-00182-21
Encounter Date
02/19/2003
Last
Herrera
First
Victor
DOB
07/05/1990
County
Fulton
Street
5801 Kingsports Dr. Apt. 248 Bld 7
City
Atlanta
State
GA
Zip
30342-
Home
(404) 438-4071
Cell
(404) 668-3913
Family Status
Single adult
COB
USA
Gender
Male
Housing
Single Family
Education Level
High school graduate

Spouse Information

Last
Hermana herrera
First
Claudia
DOB
11/11/1992
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
YES
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
NOTES

Media Authoritation

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