Code
FEU-LUZ-76
Mercy ID
V-03499-01
Encounter Date
01/05/2011
Last
Feury
First
Luz
DOB
01/07/1976
County
Fulton
Street
918 Cameron Bridge Way
City
Alpharetta
State
GA
Zip
30022-
Cell
(404) 552-2303
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
Some College
Home Owner
YES

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