FLO-ELB-76

Code
FLO-ELB-76
Mercy ID
V-01378-01
Encounter Date
10/14/2003
Last
Flores
First
Elba
DOB
05/21/1976
County
Gwinnett
Street
not given
City
Norcross
State
GA
Zip
N/A
Home
(678) 768-4421
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
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
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
J. Manzo