Code
THU-AUD-71
Mercy ID
V-01695-01
Encounter Date
09/03/2004
Last
Thurman
First
Audrey
DOB
11/29/1971
County
Fulton
Street
269 Roach Apt. 405
City
Atlatnta
State
GA
Zip
30314-
Home
(404) 529-9729
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Other
Education Level
some high school
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. Perez
Data Entry
K. Aleman