VAR-MAR-69

Code
VAR-MAR-69
Mercy ID
V-02716-01
Encounter Date
02/08/2008
Last
Vargas
First
Maria
DOB
10/23/1969
County
Fulton
Street
2715 Chattachao Road
City
Roswell
State
GA
Zip
30075-
Cell
(404) 246-4824
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Some College

Spouse Information

Last
Hernandez
First
Noel
DOB
01/11/1965
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
YES

Children

NAME DOB LIVING WITH STATE/COUNTRY
David Hernandez 12/31/2002 Parents GA/USA
Diana Hernandez 02/09/2007 Parents GA/USA
Noel Hernandez 08/14/1997 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea