RAM-MAR-77

Code
RAM-MAR-77
Mercy ID
V-02523-01
Encounter Date
02/27/2008
Last
Ramirez
First
Maria juana
DOB
07/09/1977
County
Clayton
Street
4726 Barenett Road
City
Forest park
State
GA
Zip
30297-
Cell
(678) 984-7852
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
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
No
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
J. Manzo