AQU-EDV-75

Code
AQU-EDV-75
Mercy ID
V-01858-02
Encounter Date
03/29/2005
Last
Aquino
First
Edvin
DOB
09/18/1975
County
Fulton
Street
2404 Park Colony Dr.
City
Norcross
State
GA
Zip
30093-
Home
(678) 570-1885
Family Status
Adult coupie-no children
COB
Mexico
Gender
Male
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
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
R. Miranda
Data Entry
K. Aleman