TZI-SAR-07

Code
TZI-SAR-07
Mercy ID
V-03411-12
Encounter Date
10/13/2010
Last
Tzintzun
First
Sara lee
DOB
05/04/2007
County
Dekalb
Street
4203 Buford Hwy Apt. B-6
City
Atlanta
State
GA
Zip
30345-
Cell
(404) 468-2423
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 Angelica Maria Casimiro 03/01/1974 Mexico
Father Benjamin Tzintzun 05/23/1981 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
YES
Authoritation Child
No
DOY PERMISO
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
Volunteer
Data Entry
J. Manzo