TAM-MAR-72

Code
TAM-MAR-72
Mercy ID
V-00735-01
Encounter Date
11/02/2001
Last
Tamanaja
First
Maria
DOB
04/25/1972
County
Gwinnett
Street
6196 Jane Dr.
City
Doraville
State
GA
Zip
30340-
Home
(770) 559-4538
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Hernandez
First
Elias
DOB
04/17/1970
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
YES
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
Dalia Hernandez 02/06/1997 Parents GA/USA
Evelyn Hernandez 01/18/1994 Parents GA/USA
Paula Hernandez 01/30/1999 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
x7764 Michell