ARR-SHE-07

Code
ARR-SHE-07
Mercy ID
V-02992-11
Encounter Date
02/04/2009
Last
Arriaga
First
Sherlyn
DOB
11/07/2007
County
Dekalb
Street
1425 Northcliff Valley Way Apt. D
City
Atlanta
State
GA
Zip
30319-
Cell
(404) 914-2302
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 Martha Urbano 11/03/1991 Mexico
Father Victor Arriaga 09/14/1986 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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