TOV-JES-97

Code
TOV-JES-97
Mercy ID
V-01997-21
Encounter Date
05/06/2009
Last
Tovar
First
Jesus
DOB
11/02/1997
County
Gwinnett
Street
3728 Burntleaf lane
City
Snellville
State
GA
Zip
30039-
Cell
(770) 905-1810
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Single Family
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Claudia Tovar 01/29/1978 Colombia
Father Jesus Tovar 01/11/1974 Colombia
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Centerville Elem
Grade
5th.
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
C. Martinez
Data Entry
J. Manzo