OSU-ELU-58

Code
OSU-ELU-58
Mercy ID
V-00197-01
Encounter Date
05/09/2000
Last
Osullivan
First
Luz elena
DOB
04/15/1958
County
Dekalb
Street
n/a
City
n/a
State
GA
Zip
00000-
Home
(404) 633-2636
Family Status
Single adult
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Osullivan
First
John
DOB
12/30/1949
Address
N/A
Telephone
N/A
COB
EEUU
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
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
Malena Osullivan 08/24/1994 Father GA/USA
Mary Osullivan 09/19/1985 Father 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