OLI-IVE-77

Code
OLI-IVE-77
Mercy ID
V-01566-01
Encounter Date
04/14/2004
Last
Olivia
First
Ivette
DOB
05/01/1977
County
Other
Street
131 Central Ave. Apt 3
City
Trion
State
GA
Zip
30753-
Home
(706) 734-4007
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Galindo
First
Noe
DOB
02/28/1966
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
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Elaman Galindo 02/23/2001 Parents GA/USA
Moroni Galindo 05/08/1996 Parents GA/USA
Yucari Galindo 09/01/2003 Parents 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