PAV-VIC-81
- Code
- PAV-VIC-81
- Mercy ID
- V-00496-02
- Encounter Date
- 05/01/2001
- Last
- Pavon
- First
- Victor
- DOB
- 01/09/1981
- County
- Gwinnett
- Street
- 677 Sunfield Dr. NW
- City
- Lilburn
- State
- GA
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
- Lives With
- N/A
- Name of School
- N/A
- Grade
- N/A
- Who Can't Pickup the Child
- Authoritation Parent
- No
- Authoritation Child
- No
- DOY PERMISO
- No
- Limitado Educativo
- No
- Limitado Impresos
- No
- Limitado Caminar Latino
- No
NOTES
Miosotis, Farias ID is V-01846-01. Pavon, Victor kept the ID of the former partner Diaz, Maricela
Media
NO DOY PERMISO
- Intake
- F. Perez
- Data Entry
- K. Aleman