PER-ANE-74

Code
PER-ANE-74
Mercy ID
V-02737-01
Encounter Date
03/18/2008
Last
Perez
First
Anel
DOB
06/06/1974
County
Gwinnett
Street
427 Club Place
City
Duluth
State
GA
Zip
30096-
Home
(770) 497-1290
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high 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