FLO-CLA-99

Code
FLO-CLA-99
Mercy ID
V-02745-13
Encounter Date
03/26/2008
Last
Flores
First
Claudia
DOB
08/07/1999
County
Fulton
Street
2780 Cheryl Dr. Apt. # 3
City
East point
State
GA
Zip
30344-
Cell
(678) 973-5977
Family Status
Child/Youth
COB
Mexico
Gender
Female Child
Housing
Single Family
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Guadalupe Gomez 07/01/1965 Mexico
Father Antonio Flores 08/19/1964 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Park Claine
Grade
3rd.
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