CAL-MAR-67

Code
CAL-MAR-67
Mercy ID
V-03486-01
Encounter Date
12/14/2010
Last
Cali
First
Martha
DOB
08/08/1967
County
Gwinnett
Street
715 Brandwood Hwy. NW
City
Liliburn
State
GA
Zip
30047-
Cell
(404) 784-1224
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
Grade 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
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
G. Landeros
Data Entry
J. Manzo