ORD-ISE-77

Code
ORD-ISE-77
Mercy ID
V-03171-01
Encounter Date
09/28/2009
Last
Ordoñez
First
Isela
DOB
03/01/1977
County
Cobb
Street
204 Timber Creek
City
Marietta
State
GA
Zip
30060-
Cell
(678) 274-2321
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Ordoñes
First
Juan
Middle
A.
DOB
04/19/1978
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
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
Consentimiento De Participar
YES

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
Jason Hall 06/07/1996 Mother w/Stepfather GA/USA
Nigal Hall 10/13/1997 Mother w/Stepfather GA/USA
Uryal Hall 11/05/1999 Mother w/Stepfather GA/USA

Former Spouse 1 Information

Last
Hall
First
Jason
DOB
10/03/1967
Telephone
N/A
COB
N/A
Home Owner
No
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
Linea-Griselda/amiga Winnie Bedolla