VIC-MAR-57

Code
VIC-MAR-57
Mercy ID
V-00029-02
Encounter Date
02/02/2000
Last
Vicente
First
Margarito
DOB
07/20/1957
County
Cherokee
Street
310 Keith Dr Lote 7
City
Lanton
State
GA
Zip
30114-
Family Status
Adult coupie-no children
COB
Guatemala
Gender
Male
Housing
Not Homeless
Education Level
Preschool
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
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
R. Miranda
Data Entry
D. Gomez