BER-LUZ-64

Code
BER-LUZ-64
Mercy ID
V-02730-01
Encounter Date
03/18/2008
Last
Bernal
First
Luz
DOB
09/25/1964
County
Barrow
Street
1121 Otis Drive
City
Bethlemn
State
GA
Zip
30620-
Cell
(678) 668-5113
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
Some College
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
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
J. Perez
Data Entry
J. Manzo