HER-FEI-85

Code
HER-FEI-85
Mercy ID
V-03275-01
Encounter Date
03/30/2010
Last
Hernandez
First
Felisa
DOB
03/15/1985
County
Clayton
Street
7677 Tara Boulevard
City
Jonesboro
State
GA
Zip
30236-
Cell
(404) 389-7834
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high 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
Angel hernandez esta detenido 3/30/10
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