AYA-FRA-44

Code
AYA-FRA-44
Mercy ID
V-01290-01
Encounter Date
07/18/2003
Last
Ayarza
First
Francisca
DOB
12/04/1944
County
Gwinnett
Street
6697 Grave Mill Dr.
City
Norcross
State
GA
Zip
30093-
Home
(770) 939-9603
Family Status
Single parent w/children
COB
Panamá
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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
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