FLO-ANG-70

Code
FLO-ANG-70
Mercy ID
V-01359-01
Encounter Date
09/25/2003
Last
Flores
First
Angelica
DOB
05/20/1970
County
Clayton
Street
6257 Mount Zion Blv.
City
Morrow
State
GA
Zip
30260-
Home
(770) 960-1363
Family Status
Two parent family w/children
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
YES
NOTES
aka Angelica Lara
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