GAR-ASH-02

Code
GAR-ASH-02
Mercy ID
V-02893-21
Encounter Date
06/24/2009
Last
Garcia
First
Ashlan
DOB
10/13/2002
County
Gwinnett
Street
18780 Graves Rd. Apt. 923
City
Norcross
State
GA
Zip
30093-
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Single Family
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Alicia Aboytes 06/23/1977 Mexico
Father Adan Garcia N/A Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Rockbridge Elem
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