VEL-LAU-08

Code
VEL-LAU-08
Mercy ID
V-02969-12
Encounter Date
01/07/2009
Last
Velasquez
First
Laura
DOB
09/15/2008
County
Gwinnett
Street
1722 William Church
City
Norcross
State
GA
Zip
30071-
Cell
(404) 396-3425
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Olga Contreras 05/26/1986 Mexico
Father Cesar Velasquez 09/19/1979 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

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