AGU-REI-97

Code
AGU-REI-97
Mercy ID
V-03037-21
Encounter Date
05/04/2009
Last
Aguilar
First
Erick
DOB
10/16/1997
County
Dekalb
Street
3460 Buford Hwy.Apt. F-1
City
Atlanta
State
GA
Zip
30329-
Cell
(404) 552-8936
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Mireya Aguilar 07/03/1977 Mexico
Father Juan Ismael N/A Mexico
Step Parent Joaquin Quiroz 05/21/1980 N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Path Academy
Grade
6th.
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
J. Manzo
Data Entry
J. Manzo