MAR-OLG-77

Code
MAR-OLG-77
Mercy ID
V-00905-01
Encounter Date
04/25/2002
Last
Martinez
First
Olga
DOB
02/11/1977
County
Cobb
Street
1794 James Dr. Apt. B-9
City
Marietta
State
GA
Zip
30080-
Home
(770) 431-9382
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Garcia
First
Noe
DOB
04/01/1980
Address
N/A
Telephone
N/A
COB
Mexico
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
YES
As A Child
YES
Relative
No
Stranger
YES
As An Adult
YES
Partner
No
Relative
No
Stranger
YES

Children

NAME DOB LIVING WITH STATE/COUNTRY
Elena Jasmin Falcon 04/07/1994 Mother w/Stepfather GA/USA
Michael Alexis Falcon 05/19/1997 Mother w/Stepfather 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
Diohewa/Grady