SAL-NOR-77

Code
SAL-NOR-77
Mercy ID
V-02311-01
Encounter Date
08/01/2006
Last
Salvador
First
Norma
DOB
01/08/1977
County
Gwinnett
Street
3505 The Park Colony Dr.
City
Norcross
State
GA
Zip
30093-
Cell
(678) 789-3366
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
H.S. equivalency diploma

Spouse Information

Last
Chacon
First
Carlos
DOB
04/26/1978
Address
N/A
Telephone
N/A
COB
El Salvador
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
Carlos Josue Chacon 08/25/2002 Grandparents El Salvador
Julissa Hernandez 04/23/1997 Father El Salvador
Rene David Salvador 03/26/1999 Grandparents El Salvador
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By