BEL-HIL-46

Code
BEL-HIL-46
Mercy ID
V-00233-02
Encounter Date
06/06/2000
Last
Bello
First
Hilario
DOB
05/05/1946
County
Fulton
Street
1505 Chattanoochee Ave. 71
City
Atlanta
State
GA
Zip
30318-
Home
(404) 351-7104
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Preschool
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
R. Miranda
Data Entry
Y. Garcia