ELO-GER-03

Code
ELO-GER-03
Mercy ID
V-02146-22
Encounter Date
01/25/2006
Last
Elorza
First
Gerardo
DOB
08/07/2003
County
Gwinnett
Street
425 Hunter Club Lane
City
Norcross
State
GA
Zip
30093-
Home
(770) 676-9317
Family Status
Attached youth
COB
USA
Gender
Male Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Marina Aracelia Elorza 08/01/1984 Mexico
Father Miguel Rodriguez 05/17/1979 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Day Care
Grade
Daycare
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
R. Gonzalez