JUA-LUZ-72

Code
JUA-LUZ-72
Mercy ID
V-02736-01
Encounter Date
03/18/2008
Last
Juarez
First
Luz
DOB
05/25/1972
County
Gwinnett
Street
2426 Bulrusf Cr.
City
Buford
State
GA
Zip
30519-
Cell
(770) 374-9297
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school
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
G. Landeros
Data Entry
J. Manzo