GON-MAN-78

Code
GON-MAN-78
Mercy ID
V-03019-02
Encounter Date
03/10/2009
Last
Gonzalez
First
Manuel
DOB
01/06/1978
County
Dekalb
Street
1344 North Cliff Valley Way #-I
City
Atlanta
State
GA
Zip
30319-
Cell
(404) 797-1737
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
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
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. Perez
Data Entry
J. Manzo