7/25/2019 Third Party Verify DV
1/2
Fax:
503.988.6499
www.gatewaycenterdv.org
Hours: Mon Fri 9:00 a.m. to 4:00.m.
Qualified Third Party Verification
Name of qualified third party:Angie Mejia, Domestic Violence
Advocate and
Navigator, Gateway Center
Name of tenant:Alnetta Price
PART 1.
TAT!M!NT "# T!NANT
$, Alnetta Price,, do %ere&y state as 'ollows()))*A+ $ or a
minor mem&er o' my %ose%old %ave &een a victim o' domestic
violence,
se-al assalt or staling, as t%ose terms are de'ined in /R
0.1.
)))*"+ T%e most recent incident*s+ t%at $ rely on in s22ort o'
t%is statement occrred ont%e 'ollowing date*s+( 11343516. T%e time
since t%e most recent incident too 2lace is
less t%an 0 days7
or
)))T%e time since t%e most recent incident too 2lace is less
t%an 0 days i' 2eriods
w%en t%e 2er2etrator was incarcerated or was living more t%an 1
miles 'rom my %omeare not conted. T%e 2er2etrator was incarcerated
'rom )))))))))))) to )))))))))))).
T%e 2er2etrator lived more t%an 1 miles 'rom my %ome 'rom
))))))))))) to
))))))))))).)))*C+ $ %ere&y declare t%at t%e a&ove
statement is tre to t%e &est o' my nowledge and
&elie', and t%at $ nderstand it is made 'or se as evidence
in cort and is s&ject to
2enalty 'or 2erjry.
ignatre o' tenant))))))))))))))))))))))))) Date))))))))))
))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))The
Gateway Center for Domestic Violence Services is a drop-in center
for victims of domestic violence and their children administered by
the City of Portland in
partnership with Multnomah County and a variety of public and
private partners. wide variety of services are offered at the
Gateway Center by more than !"
different a#encies in one convenient$ comfortable$ and home-li%e
sett in#.
http://www.gatewaycenterdv.org/http://www.gatewaycenterdv.org/
