GAR-MAR-64

Code
GAR-MAR-64
Mercy ID
V-00830-01
Encounter Date
06/24/2009
Last
Garibaldi
First
Martha
DOB
12/15/1964
County
Cobb
Street
1034 Franklin Rd. L-9
City
Marietta
State
GA
Zip
30067-
Cell
(770) 780-5472
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
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
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
G. Landeros
Data Entry
J. Manzo