ROJ-MAR-73

Code
ROJ-MAR-73
Mercy ID
V-02346-01
Encounter Date
11/07/2006
Last
Rojo
First
Maria elena
DOB
10/18/1973
County
Gwinnett
Street
4140 Bowors Point
City
Lilburn
State
AR
Zip
30047-
Cell
(770) 885-0150
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade 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
J. Manzo