GOR-RUT-73

Code
GOR-RUT-73
Mercy ID
V-01749-01
Encounter Date
11/03/2004
Last
Gorrell
First
Ruth
DOB
05/13/1973
County
Gwinnett
Street
818 Stillwater Lane
City
Lawrenceville
State
GA
Zip
30044-
Cell
(678) 520-4600
Family Status
Two parent family w/children
COB
Dominican Rep
Gender
Female
Housing
Not Homeless
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
YES
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
K. Aleman