MAR-JUL-63

Code
MAR-JUL-63
Mercy ID
V-01176-01
Encounter Date
03/18/2003
Last
Martinez
First
Julia
DOB
04/09/1963
County
Fulton
Street
1701 Sandal Wood Dr. Apt. 1701
City
Atlanta
State
GA
Zip
30350-
Home
(770) 645-9670
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Gomez-Olascuada
First
Mauricio
DOB
09/22/1964
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
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
Cindy Olascuada 09/12/1992 Parents GA/USA
Julia Olascuada 01/08/1987 Parents GA/USA
Mauricio Olascuada 07/22/1998 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
K. Aleman
Referred By
Fulton Court