RAM-FRA-71

Code
RAM-FRA-71
Mercy ID
V-03477-01
Encounter Date
11/26/2010
Last
Ramirez
First
Francisca
DOB
07/15/1971
County
Gwinnett
Street
1149 Guernsey Dr.
City
Larenceville
State
GA
Zip
30043-
Home
(770) 339-1735
Cell
(770) 318-0038
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade 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

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