SAN-JOS-81

Code
SAN-JOS-81
Mercy ID
V-03004-02
Encounter Date
02/17/2009
Last
Sanchez
First
Jose
DOB
06/22/1981
County
Dekalb
Street
2013 Oakshadow Apt. A
City
Atlanta
State
GA
Zip
30345-
Cell
(678) 541-1056
Family Status
Two parent family w/children
COB
Ecuador
Gender
Male
Housing
Doubling Up
Education Level
Grade school
Home Owner
YES

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
J. Manzo
Data Entry
J. Manzo