FAU-ALB-60

Code
FAU-ALB-60
Mercy ID
V-02709-01
Encounter Date
02/13/2008
Last
Faurrieta
First
Alberta
DOB
04/07/1960
County
Cherokee
Street
345 Winchester Way
City
Woodstock
State
GA
Zip
30188-
Cell
(678) 389-0831
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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