Code
CRU-YAN-82
Mercy ID
V-03070-01
Encounter Date
05/12/2009
Last
Cruz
First
Yaniris
DOB
02/08/1982
County
Dekalb
Street
3179 Flower Road South Apt. X
City
Atlanta
State
GA
Zip
30341-
Family Status
Single adult
COB
USA
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
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