TRI-VER-71

Code
TRI-VER-71
Mercy ID
V-00427-01
Encounter Date
02/26/2001
Last
Triana
First
Veronica
DOB
03/30/1971
County
Gwinnett
Street
1261 Rocky Rd.
City
Lawrenceville
State
GA
Zip
30044-
Home
(678) 344-6510
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
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
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
K. Aleman