OLM-MAR-79

Code
OLM-MAR-79
Mercy ID
V-03292-01
Encounter Date
03/15/2010
Last
Olmedo
First
Maria odalis
DOB
02/28/1979
County
Dekalb
Street
3132 Buford Hwy # E-3
City
Atlanta
State
GA
Zip
30329-
Cell
(404) 438-2219
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
N/A
First
N/A
DOB
N/A
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
YES
Consentimiento De Participar
YES

Petitioner

TPO
YES
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
Angelica Navarrete 03/05/2004 Mother GA/USA
Antonio Navarrete 11/23/2005 Mother GA/USA

Former Spouse 1 Information

Last
Navarrete
First
Antonio
DOB
06/13/1972
Telephone
N/A
COB
Mexico
Home Owner
YES
NOTES

Media Authoritation

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