PET-PAO-70

Code
PET-PAO-70
Mercy ID
V-01126-01
Encounter Date
02/19/2003
Last
Petatan
First
Paola
DOB
04/10/1970
County
Fulton
Street
55 Northwood Dr. Apt. 31
City
Atlanta
State
GA
Zip
30242-
Home
(404) 257-1429
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Other
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
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. Manzo
Data Entry
K. Aleman