MAR-OLG-77

Code
MAR-OLG-77
Mercy ID
V-00905-01
Encounter Date
04/25/2002
Last
Martinez
First
Olga
DOB
02/11/1977
County
Cobb
Street
1794 James Dr. Apt. B-9
City
Marietta
State
GA
Zip
30080-
Home
(770) 431-9382
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high 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
YES
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