CAM-VAN-99

Code
CAM-VAN-99
Mercy ID
V-01916-11
Encounter Date
06/15/2005
Last
Camacho
First
Vanesa
DOB
05/07/1999
County
Dekalb
Street
3061 Oak Cliff Rd. Apt 77
City
Doraville
State
GA
Zip
30340-
Home
(770) 934-0731
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Mildred Hernandez 03/30/1975 Nicaragua
Father Felix Camacho 03/06/1974 Cuba
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Oak Cliff Elementary
Grade
1st.
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
Y. Garcia
Data Entry
K. Aleman