ANG-RUT-60

Code
ANG-RUT-60
Mercy ID
V-00458-01
Encounter Date
03/21/2001
Last
Angeles
First
Ruth leticia
DOB
09/10/1960
County
Dekalb
Street
3105 Cedar Creek Pkway
City
Decatur
State
GA
Zip
30033-
Home
(404) 294-8713
Cell
(404) 725-0524
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical
Home Owner
YES

Parents Information

Name DOB COB
Mother N/A N/A N/A
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
YES
Relative
No
Stranger
No
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Manzo
Data Entry
J. Manzo