PER-KLA-64

Code
PER-KLA-64
Mercy ID
V-03051-01
Encounter Date
04/13/2009
Last
Peraza
First
Clara
DOB
07/14/1964
County
Dekalb
Street
512 Bentley Place
City
Tucker
State
GA
Zip
30084-
Cell
(404) 838-6966
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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