SAM-ANA-99

Code
SAM-ANA-99
Mercy ID
V-01744-12
Encounter Date
12/01/2004
Last
Samano martinez
First
Ana
DOB
09/25/1999
County
Fulton
Street
7000 Roswell Rd.
City
Atlanta
State
GA
Zip
30328-
Home
(770) 698-9633
Cell
(404) 483-7451
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Rita Samano 07/09/1975 Mexico
Father Antonio Martinez 05/28/1972 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Spallen Dr. Elementary
Grade
Kinder
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
Volunteer
Data Entry
K. Aleman