GON-VAN-73

Code
GON-VAN-73
Mercy ID
V-03098-01
Encounter Date
06/17/2009
Last
Gonzalez
First
Llilia
DOB
08/19/1973
County
Dekalb
Street
1463
City
Atlanta
State
GA
Zip
30319-
Cell
(678) 325-9086
Family Status
Single parent w/children
COB
Nicaragua
Gender
Female
Housing
Single Family
Education Level
High school graduate
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
G. Landeros
Data Entry
J. Manzo