Code
SAL-MAR-74
Mercy ID
V-01546-01
Encounter Date
03/24/2004
Last
Salmeron
First
Marina
DOB
10/21/1974
County
Other
Street
646 Foodhill Blvd. Apt. 304
City
Oakland
State
KA
Zip
94606-
Cell
(650) 669-0687
Family Status
Single parent 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
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. Perez
Data Entry
K. Aleman