DES-JEN-81

Code
DES-JEN-81
Mercy ID
V-02361-01
Encounter Date
11/27/2006
Last
De sousa
First
Jennifer
DOB
08/05/1981
County
Gwinnett
Street
3164 Mill Spring Cr
City
Buford
State
GA
Zip
30519-
Cell
(404) 207-3932
Family Status
Two parent family w/children
COB
Costa Rica
Gender
Female
Housing
Not Homeless
Education Level
College Degree
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