Code
ARA-MAR-93
Mercy ID
B-00016-01
Encounter Date
04/27/1993
Last
Arana
First
Maria luisa
DOB
04/27/1993
County
Not given
Street
3419 Cumberland Ct. Apt. 6
City
Not given
State
GA
Zip
N/A
Home
(770) 986-0819
Family Status
Unknow/Unreported
COB
Mexico
Gender
Female Child
Housing
Other
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
DOB is incorrect
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