VEN-IRI-73

Code
VEN-IRI-73
Mercy ID
V-01932-01
Encounter Date
06/15/2005
Last
Ventura
First
Iris
DOB
09/29/1973
County
Gwinnett
Street
6141 Rotondo Place
City
Norcross
State
GA
Zip
30093-
Home
(770) 934-1872
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Palomo
First
Mauricio
DOB
07/07/1977
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
No
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
Jeffrey Palomo 12/12/2001 Mother GA/USA
Karla Vanesa Palomo 02/01/2001 Mother 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
K. Aleman
Referred By
Gisela Partnership/Gisela