MAR-KEI-83

Code
MAR-KEI-83
Mercy ID
V-02740-01
Encounter Date
03/26/2008
Last
Martinez
First
Queira
DOB
01/01/1982
County
Gwinnett
Street
3245 Samrise Village Lane
City
Norcross
State
GA
Zip
30093-
Cell
(404) 963-3082
Family Status
Single parent w/children
COB
Honduras
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
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