HER-ERN-63

Code
HER-ERN-63
Mercy ID
V-00369-02
Encounter Date
12/05/2000
Last
Hernandez
First
Ernesto
DOB
02/21/1963
County
Dekalb
Street
6688 peachtree idylo
City
Doraville
State
GA
Zip
30360-
Home
(770) 416-9826
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Minor
First
Doralilia
DOB
N/A
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
daniel hernandez 04/11/2000 Parents GA/USA
hernesto hernandez 12/11/1993 Parents GA/USA
magdiel hernandez 02/16/1985 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
S. Aviña
Referred By