FON-IVO-73

Code
FON-IVO-73
Mercy ID
V-00693-01
Encounter Date
11/27/2001
Last
Fontaine
First
Ivonne
DOB
02/27/1973
County
Cobb
Street
7740 Pupy Dr.
City
Winston
State
GA
Zip
30187-
Home
(678) 525-0942
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school
Home Owner
No

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
No
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
K. Aleman