TIN-ROS-86

Code
TIN-ROS-86
Mercy ID
V-02614-01
Encounter Date
10/08/2007
Last
Tinajero
First
Rosa maria
DOB
08/26/1986
County
Gwinnett
Street
1502 Woodcill Dr.
City
Lilburn
State
GA
Zip
30047-
Home
(678) 887-9887
Cell
(678) 768-0584
Family Status
Single parent w/children
COB
Mexico
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
No
Relative
No
Stranger
No
NOTES
*****2008, NO SE CONTACTO, NO A.R.*****
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