SAN-REY-77

Code
SAN-REY-77
Mercy ID
V-00892-01
Encounter Date
04/05/2002
Last
Sanchez
First
Reyna
DOB
08/31/1977
County
Gwinnett
Street
3242 Winscape Village Ln
City
Norcross
State
GA
Zip
30393-
Home
(770) 638-2981
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Portillo
First
Mauricio
DOB
09/29/1966
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
Jose Portillo 01/03/2000 Parents GA/USA
Melvin Portillo 11/04/1993 Parents GA/USA
Yesica Portillo 07/06/2001 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