Code
OCO-YUR-88
Mercy ID
V-03119-01
Encounter Date
07/15/2009
Last
Ocampo
First
Yuridia
DOB
10/23/1988
County
Fulton
Street
5801 Kingstort Dr. # 218
City
Atlanta
State
GA
Zip
30342-
Cell
(404) 604-7780
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
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
G. Landeros
Data Entry
J. Manzo