MAR-MAR-45

Code
MAR-MAR-45
Mercy ID
V-00612-01
Encounter Date
07/25/2001
Last
Martinez
First
Marcelina
DOB
06/02/1945
County
Fulton
Street
1258-B Roberts Dr.
City
Gand park
State
GA
Zip
30315-
Home
(404) 624-4394
Family Status
Adult coupie-no children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school
Home Owner
No

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. Manzo
Data Entry
K. Aleman