ALV-BUN-73

Code
ALV-BUN-73
Mercy ID
V-00519-01
Encounter Date
09/25/2002
Last
Alvarado
First
Bunny
DOB
03/08/1973
County
Fulton
Street
145 Northwood Rd.
City
Atlanta
State
GA
Zip
30342-
Home
(404) 459-8623
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Doubling Up
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
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
J. Perez
Data Entry
K. Aleman