CRU-MAI-69

Code
CRU-MAI-69
Mercy ID
V-02591-01
Encounter Date
09/27/2007
Last
Cruz
First
Maria
DOB
06/30/1969
County
Rockdale
Street
1230 Mill Crest Walk
City
Conyers
State
GA
Zip
30012-
Home
(770) 648-7379
Cell
(404) 642-4284
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate
Home Owner
YES

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