MEN-JOS-02

Code
MEN-JOS-02
Mercy ID
V-00506-21
Encounter Date
10/02/2002
Last
Mendez
First
Jose
DOB
01/11/1996
County
Dekalb
Street
1800 Memorial Dr. Apt. J3
City
Atlanta
State
GA
Zip
00000-0000
Home
(404) 373-5197
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Maria Mendez 08/02/1979 Mexico
Father N/A N/A Mexico
Step Parent Nazario Sanchez N/A Guatemala
Driver
No
Relative
No
Stranger
No
NOTES
He previously came to the program with his aunt Maria Alvares 3/6/65; now he is returning with his mother. His info has been updated and Mercy ID has been changed to that of the mother.
Lives With
Mother
Name of School
N/A
Grade
1st.
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
Y. Garcia
Data Entry
K. Aleman