CHA-KAR-75

Code
CHA-KAR-75
Mercy ID
V-02705-01
Encounter Date
02/06/2008
Last
Chamoro
First
Karla
DOB
07/29/1975
County
Rockdale
Street
953 Briark Creek
City
Coneyrs
State
GA
Zip
30012-
Cell
(404) 428-0302
Family Status
Single adult
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
YES
Relative
YES
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