IBA-KAR-78

Code
IBA-KAR-78
Mercy ID
V-03135-01
Encounter Date
08/03/2009
Last
Ibarra
First
Karla
DOB
10/24/1978
County
Gwinnett
Street
1371 Indian Way
City
Lilburn
State
GA
Zip
30047-
Cell
(678) 558-4414
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
High school graduate
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
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
J. Perez
Data Entry
J. Manzo