MER-ROS-79

Code
MER-ROS-79
Mercy ID
V-03199-01
Encounter Date
10/30/2009
Last
Mercado
First
Rosendy
DOB
04/29/1979
County
Gwinnett
Street
4221 Herrington
City
Lawrenceville
State
GA
Zip
30043-
Cell
(770) 334-1061
Family Status
Single parent w/children
COB
Dominican Rep
Gender
Female
Housing
Doubling Up
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
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
J. Manzo