Code
AGU-NOR-71
Mercy ID
V-00162-01
Encounter Date
04/05/2000
Last
Aguilar
First
Norma
DOB
10/04/1971
County
Gwinnett
Street
1015 chase common dr
City
Norcross
State
GA
Zip
30071-
Home
(770) 825-0155
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Garcia
First
Juan
DOB
12/27/1975
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
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
alvaro angel 09/30/1994 Mother w/Stepfather GA/USA
cipriano angel 10/26/1991 Mother w/Stepfather GA/USA
kelvin aguilar 12/29/1988 Grandmother 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
S. AviƱa
Referred By