RES-JUA-79

Code
RES-JUA-79
Mercy ID
V-02934-01
Encounter Date
10/30/2008
Last
Resendiz
First
Juana
DOB
10/01/1979
County
Clayton
Street
6909 Malibu Dr.
City
Morrow
State
GA
Zip
30260-
Cell
(678) 851-5462
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade 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