POR-NOR-73

Code
POR-NOR-73
Mercy ID
V-02321-01
Encounter Date
09/13/2006
Last
Portillo
First
Norma
DOB
10/08/1973
County
Gwinnett
Street
2800 Herrington Wood Court
City
Lawrenceville
State
GA
Zip
30044-
Cell
(770) 896-2784
Other
(404) 397-9910
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up

Spouse Information

Last
Vazquez
First
Jose
DOB
02/13/1968
Address
N/A
Telephone
N/A
COB
El Salvador
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
Jacqueline Vazquez 08/27/1996 Mother GA/USA
Jose Vazquez 10/10/1998 Mother GA/USA
Leydy Vazquea 05/27/1990 Aunt El Salvador
Wendy Portillo 05/06/1993 Aunt El Salvador
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