ARD-ROX-03

Code
ARD-ROX-03
Mercy ID
V-02787-11
Encounter Date
05/21/2008
Last
Ardon
First
Roxanna
DOB
11/29/2003
County
Gwinnett
Street
5543 Botton Gwinnett
City
Norcross
State
GA
Zip
30093-
Cell
(404) 468-2420
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 Rosa Contreras 11/16/1973 El Salvador
Father Francisco Ardon 12/22/1954 El Salvador
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

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
J. Manzo