AGU-MAR-68

Code
AGU-MAR-68
Mercy ID
V-02245-01
Encounter Date
05/12/2006
Last
Aguilar
First
Maricruz
DOB
05/03/1968
County
Dekalb
Street
4015 Covington Hwy
City
Decatur
State
GA
Zip
30032-
Cell
(678) 760-8623
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
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. Perez
Data Entry
R. Gonzalez