JIM-CAR-61

Code
JIM-CAR-61
Mercy ID
V-01599-01
Encounter Date
05/14/2004
Last
Jimenez
First
Carmen g
DOB
08/24/1961
County
Fulton
Street
3408 Orchard St.
City
Hapeville
State
GA
Zip
30354-
Home
(404) 209-7146
Family Status
Two parent family w/children
COB
Dominican Rep
Gender
Female
Housing
Not Homeless
Education Level
some high school
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
J. Perez
Data Entry
K. Aleman