QUI-ELI-96

Code
QUI-ELI-96
Mercy ID
V-02754-21
Encounter Date
04/09/2008
Last
Quintero
First
Eli
DOB
12/07/1996
County
Fulton
Street
5037 Gardner Drive
City
Alpharetta
State
GA
Zip
30004-
Cell
(404) 384-0015
Family Status
Child/Youth
COB
Venezuela
Gender
Male Child
Housing
Single Family
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Aileen Silva 12/19/1968 Venezuela
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Hembree Springs
Grade
5th.
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. Alvarado
Data Entry
J. Manzo