OLI-JES-67

Code
OLI-JES-67
Mercy ID
V-01463-02
Encounter Date
02/03/2004
Last
Olivares
First
Jesus juan
DOB
05/02/1967
County
Fulton
Street
201Norwood Dr.
City
Sandy springs
State
GA
Zip
30342-
Home
(404) 851-0998
Cell
(404) 604-9643
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Some College
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
R. Miranda
Data Entry
K. Aleman