AGU-LIL-68

Code
AGU-LIL-68
Mercy ID
V-00460-01
Encounter Date
03/13/2001
Last
Aguirre
First
Lilia
DOB
07/27/1968
County
Gwinnett
Street
6628 Ramsgate Way
City
Norcross
State
GA
Zip
30093-
Home
(404) 886-0923
Cell
(770) 351-0785
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical
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
Signed consent form and promesa before the fire
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
K. Aleman