ARI-ELE-59

Code
ARI-ELE-59
Mercy ID
V-03130-01
Encounter Date
08/03/2009
Last
Arias
First
Eleina
DOB
01/31/1959
County
Fulton
Street
4912 Calibre Creek Parkway
City
Roswell
State
GA
Zip
30076-
Cell
(678) 396-0946
Family Status
Single adult
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
some high 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
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
J. Manzo