ZAR-AUR-63

Code
ZAR-AUR-63
Mercy ID
V-00071-01
Encounter Date
02/14/2000
Last
Zarate
First
Aurelia
DOB
12/27/1963
County
Dekalb
Street
1900 St. Columbia PL.
City
Decatur
State
GA
Zip
30032-
Home
(404) 288-8657
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school
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
J. Manzo
Data Entry
Y. Garcia