ALO-JOS-57

Code
ALO-JOS-57
Mercy ID
V-00030-02
Encounter Date
04/05/2000
Last
Alonso
First
Jose
DOB
08/24/1957
County
Fulton
Street
201 Northwood Dr. Apt. AA10
City
Atlanta
State
GA
Zip
30342-
Home
(404) 256-5195
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
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
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
R. Miranda
Data Entry
Y. Garcia