Code
CAS-IVO-73
Mercy ID
V-02788-01
Encounter Date
05/15/2008
Last
Castillo
First
Ivonne
DOB
12/27/1973
County
Paulding
Street
54 Patricia Path
City
Dallas
State
GA
Zip
30157-
Cell
(678) 754-0117
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
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