NUÑ-HER-69

Code
NUÑ-HER-69
Mercy ID
V-00446-02
Encounter Date
03/13/2001
Last
Nuñez
First
Herculano
DOB
08/04/1969
County
Cherokee
Street
7555 Union Hill Rd. Lot 6D
City
Canton
State
GA
Zip
30114-
Home
(678) 793-7332
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Preschool

Spouse Information

Last
Patrick
First
Melina
DOB
09/16/1980
Address
same
Telephone
(678) 886-7831
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
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
Briana Alicia 03/16/2000 Father GA/USA
Claudia Victoria 08/04/2001 Father GA/USA
Roberto Antonio 07/22/2003 Father 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
K. Aleman
Referred By
jessica ammon