PAC-GER-08

Code
PAC-GER-08
Mercy ID
V-02866-12
Encounter Date
08/06/2008
Last
Pacheco
First
Geraldi
DOB
02/23/2008
County
Cobb
Street
750 Six Flags Road Lot #261
City
Austell
State
GA
Zip
30168-
Home
(770) 739-4925
Family Status
Two parent family w/children
COB
USA
Gender
Female Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Yenitza Jacinto 03/07/1982 Mexico
Father Jorge Pacheco 06/03/1974 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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
F. Gomez
Data Entry
J. Manzo