HER-EST-67

Code
HER-EST-67
Mercy ID
V-00435-01
Encounter Date
02/27/2001
Last
Hernandez
First
Estela
DOB
05/11/1967
County
Fulton
Street
117 Grove Way Apt. 1
City
Atlanta
State
GA
Zip
30075-
Home
(770) 643-9519
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Resendis
First
Andres
DOB
04/22/1963
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
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Adrew Resendis 10/20/1992 Parents GA/USA
Andres Resendis 11/27/1998 Parents GA/USA
Joselyn Resendis 02/10/1997 Parents 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
K. Aleman
Referred By
7764 Maria Eugenia