FLO-MEL-68

Code
FLO-MEL-68
Mercy ID
V-00403-01
Encounter Date
01/30/2001
Last
Flores
First
Melissa
DOB
04/19/1968
County
Cobb
Street
150 West Park Dr.
City
Athens
State
GA
Zip
30606-
Home
(706) 543-2163
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Not Homeless
Education Level
High school graduate
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
Telephone 2 is a work phone.
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
K. Aleman