SAN-LIL-67

Code
SAN-LIL-67
Mercy ID
V-02227-01
Encounter Date
04/14/2006
Last
Santos
First
Lili oneida
DOB
12/26/1967
County
Bartow
Street
59 Vallevie #19
City
Karesville
State
GA
Zip
30120-
Home
(770) 607-0077
Family Status
Single parent w/children
COB
Honduras
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
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
G. Landeros
Data Entry
R. Gonzalez