GUE-JES-65

Code
GUE-JES-65
Mercy ID
V-03302-01
Encounter Date
04/19/2010
Last
Guerra
First
Jesus
DOB
01/03/1965
County
Fulton
Street
2788 Defoors Ferry Rd.
City
Atlanta
State
GA
Zip
30318-
Cell
(404) 694-8937
Family Status
Two parent family w/children
COB
Guatemala
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
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

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