OLI-MAR-78

Code
OLI-MAR-78
Mercy ID
V-02611-01
Encounter Date
10/05/2007
Last
Olivares
First
Maria otilia
DOB
04/28/1978
County
Clayton
Street
4626 Westminster Dr.
City
Ellenwood
State
GA
Zip
30294-
Cell
(404) 468-5379
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Rivera
First
Gilberto
DOB
09/20/1971
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
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Alexander Rivera 01/02/2004 Parents GA/USA
Alexis Rivera 01/02/2004 Parents GA/USA
Edgar Rivera 06/18/1997 Parents GA/USA
Jonathan Rivera 12/03/1999 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Juana