LOP-MAR-59

Code
LOP-MAR-59
Mercy ID
V-00277-01
Encounter Date
09/05/2000
Last
Lopez
First
Maria del
DOB
06/11/1959
County
Fulton
Street
7238 Mockin Bird Riverdale
City
Clayton
State
GA
Zip
30274-
Home
(678) 479-3963
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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
J. Perez
Data Entry
D. Gomez