CAR-AME-81

Code
CAR-AME-81
Mercy ID
V-02789-01
Encounter Date
05/29/2008
Last
Carrillo
First
Amelia
DOB
02/03/1981
County
Gwinnett
Street
143 Glosteer Road
City
Lawrenceville
State
GA
Zip
30044-
Cell
(678) 243-8641
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
some high school
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