TOV-RUB-73

Code
TOV-RUB-73
Mercy ID
V-00601-01
Encounter Date
07/16/2001
Last
Tovar
First
Rubi
DOB
08/28/1973
County
Not given
Street
5583 Poplar Place
City
Buford
State
GA
Zip
30503-
Home
(678) 714-9280
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
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
K. Aleman