Code
FUN-YOH-86
Mercy ID
V-01879-01
Encounter Date
08/18/2009
Last
Funes
First
Yohana
DOB
10/15/1986
County
Cobb
Street
1760 Crestwood Ln.
City
Marietta
State
GA
Zip
30067-
Cell
(404) 319-2403
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
Grade 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
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
J. Manzo