POL-SIL-48

Code
POL-SIL-48
Mercy ID
V-02607-01
Encounter Date
10/02/2007
Last
Polachek
First
Silvia
DOB
05/01/1948
County
Muscogee
Street
475 Georgetown Road
City
Columbus
State
GA
Zip
31907-
Cell
(706) 315-3972
Family Status
Single adult
COB
Nicaragua
Gender
Female
Housing
Doubling Up
Education Level
H.S. equivalency diploma
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
G. Landeros
Data Entry
J. Manzo