ACE-CLA-80

Code
ACE-CLA-80
Mercy ID
V-02360-01
Encounter Date
11/27/2006
Last
Acevedo
First
Claudia
DOB
01/31/1980
County
Fulton
Street
3401 S. Highway 81 Lot-3 Oxford
City
Atlanta
State
GA
Zip
30054-
Home
(678) 625-7932
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
Home Owner
YES

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