BAU-OLG-77

Code
BAU-OLG-77
Mercy ID
V-03517-01
Encounter Date
01/30/2011
Last
Bautista
First
Olga
DOB
09/19/1977
County
Fulton
Street
999 NO LA QUISO DAR
City
Sandy springs
State
GA
Zip
30350-
Cell
(404) 492-2595
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
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
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
G. Landeros
Data Entry
J. Manzo