SAL-OLG-70

Code
SAL-OLG-70
Mercy ID
V-02396-01
Encounter Date
01/22/2007
Last
Saldarriaga
First
Olga
DOB
06/30/1970
County
Hall
Street
3406 Willow Rich
City
Gainsville
State
GA
Zip
30504-
Home
(678) 450-8837
Cell
(770) 374-1920
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Gomez
First
Mario
DOB
05/23/1963
Address
N/A
Telephone
N/A
COB
Colombia
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
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
Juliana Gomez 05/20/1985 Adulto/Casado GA/USA
Ronal Gomez 01/09/1990 Mother GA/USA
Viviana 10/17/1993 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
Abogado Hipolito Goico