MEN-NOR-77

Code
MEN-NOR-77
Mercy ID
V-02206-01
Encounter Date
03/22/2006
Last
Mendoza
First
Noralba
DOB
05/10/1977
County
Newton
Street
20 Wood Filld Rd
City
Covington
State
GA
Zip
30014-
Home
(678) 616-4140
Cell
(678) 993-9070
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Hinojosa
First
Abel
DOB
08/08/1971
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
Abel Hinojosa 10/26/1999 Parents GA/USA
Alejandra Hinojosa 09/27/2000 Parents GA/USA
Jocelyn Hinojosa 09/16/2003 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
R. Gonzalez
Referred By