Code
SUL-DAN-76
Mercy ID
V-03194-01
Encounter Date
10/21/1976
Last
Sullivan
First
Daniela
DOB
05/19/1976
County
Fulton
Street
999 no la quiso dar
City
Atlanta
State
GA
Zip
30309-
Cell
(678) 938-8128
Family Status
Adult couple-no children
COB
Argentina
Gender
Female
Housing
Single Family
Education Level
College Degree

Spouse Information

Last
Sullivan
First
Chadwidc
DOB
04/01/1973
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
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
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