SAN-LET-72

Code
SAN-LET-72
Mercy ID
V-02877-01
Encounter Date
08/20/2008
Last
Sanchez
First
Leticia
DOB
06/16/1972
County
Clayton
Street
1090 Boca Raton
City
Forest park
State
GA
Zip
30279-
Cell
(678) 789-4849
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
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
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