AJT-MAR-90

Code
AJT-MAR-90
Mercy ID
V-03362-01
Encounter Date
07/09/2010
Last
Ajtun
First
Margarita
DOB
07/03/1990
County
Fulton
Street
1940 Fisher Road
City
Atlanta
State
GA
Zip
30315-
Cell
(678) 760-5561
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education
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