SAL-PAU-81

Code
SAL-PAU-81
Mercy ID
V-02512-01
Encounter Date
06/06/2007
Last
Salazar
First
Paulina
DOB
12/16/1981
County
Douglass
Street
7631 not given
City
Douglsville
State
GA
Zip
30134-
Home
(770) 489-7145
Cell
(770) 912-7335
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Shelter
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
J. Manzo