BAC-ELM-79

Code
BAC-ELM-79
Mercy ID
V-03222-02
Encounter Date
12/15/2009
Last
Baca
First
Elmer
DOB
08/11/1979
County
Cobb
Street
825 Powder Spring St.
City
Marietta
State
GA
Zip
30064-
Cell
(678) 392-9752
Family Status
Single adult
COB
Honduras
Gender
Male
Housing
Doubling Up
Education Level
some high school
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. Manzo
Data Entry
J. Manzo