GON-EST-81

Code
GON-EST-81
Mercy ID
V-02828-01
Encounter Date
06/23/2008
Last
Gonzalez
First
Estela
DOB
06/10/1981
County
Gwinnett
Street
5936 Belle Rd.
City
Doraville
State
GA
Zip
30340-
Cell
(678) 127-5983
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
High school graduate
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
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
G. Landeros
Data Entry
J. Manzo