ORE-SAR-58

Code
ORE-SAR-58
Mercy ID
V-01209-01
Encounter Date
04/28/2003
Last
Orellana
First
Sara
DOB
12/04/1958
County
Clayton
Street
5758 Hwy Apt. 16-A
City
Riverdale
State
GA
Zip
30274-
Home
(404) 361-7397
Family Status
Single adult
COB
El Salvador
Gender
Female
Housing
Doubling Up
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. Manzo
Data Entry
K. Aleman