Code
CRU-OLG-66
Mercy ID
V-00088-01
Encounter Date
10/27/1999
Last
Cruz
First
Olga
DOB
11/30/1966
County
Fulton
Street
1505 chattahooche ave #80
City
Atlanta
State
GA
Zip
30318-
Home
(404) 367-0479
Family Status
Two parent family w/children
COB
Puerto Rico
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Cordero
First
Michael
DOB
10/25/1965
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
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
esalene cordero 03/10/1987 Parents GA/USA
eyashira coredero 05/17/1988 Parents GA/USA
michael coredero 07/25/1990 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
D. Gomez
Referred By