SAN-ANG-05

Code
SAN-ANG-05
Mercy ID
V-02742-11
Encounter Date
03/26/2008
Last
Sanchez
First
Angela
DOB
09/27/2005
County
Dekalb
Street
2392 Hurst Dr.
City
Atlanta
State
GA
Zip
35305-
Cell
(404) 317-6834
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Single Family
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Rebecca Sanchez 06/01/1966 Mexico
Father N/A N/A Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child
SOLO LA MAMA PUEDE RECOGERLA

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. Alvarado
Data Entry
J. Manzo