AGU-GUS-06

Code
AGU-GUS-06
Mercy ID
V-02589-23
Encounter Date
10/03/2007
Last
Aguilar
First
Gustavo
DOB
09/14/2006
County
Cobb
Street
204 Windy Hill Road
City
Marietta
State
GA
Zip
30060-
Cell
(404) 839-6213
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Angelica Ochoa 03/12/1978 Guatemala
Father Raul Aguilar 06/05/1975 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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
C. Martinez
Data Entry
J. Manzo