AGU-JAR-06

Code
AGU-JAR-06
Mercy ID
V-02304-11
Encounter Date
09/27/2006
Last
Aguilar
First
Jaretzy
DOB
06/01/2006
County
Dekalb
Street
4123 Windsor Oak
City
Doraville
State
GA
Zip
30340-
Home
(770) 242-2577
Family Status
Attached youth
COB
USA
Gender
Female Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Ana Cecilia Martinez 04/04/1975 Mexico
Father N/A N/A Mexico
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
Volunteer
Data Entry
J. Manzo