FLO-PIL-64

Code
FLO-PIL-64
Mercy ID
V-01678-01
Encounter Date
08/17/2004
Last
Flores
First
Pilar
DOB
08/04/1964
County
Dekalb
Street
3540 Old Chamblee Tucker Rd.
City
Doraville
State
GA
Zip
30340-
Home
(770) 938-5344
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical
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