ORT-IRI-88

Code
ORT-IRI-88
Mercy ID
V-02341-01
Encounter Date
09/27/2006
Last
Ortega
First
Iris
DOB
05/01/1988
County
Gwinnett
Street
3975 Dollar Cr.
City
Suwanee
State
GA
Zip
30324-
Home
(404) 248-2310
Cell
(404) 732-3994
Family Status
Two parent family w/children
COB
Guatemala
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
Tapestri la ref. la 2a. Vez
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
J. Manzo