Code
MAR-AID-92
Mercy ID
V-00026-11
Encounter Date
01/05/2000
Last
Martinez
First
Aida yasmine
DOB
03/23/1992
County
Cobb
Street
3014 Estuary Road
City
Acworth
State
GA
Zip
30101-
Cell
(205) 570-2219
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Single Family
Education Level
Some College
Home Owner
YES

Parents Information

Name DOB COB
Mother Maria Amparo Martinez 03/18/1972 Mexico
Father Jose Victor Martinez 04/24/1968 Mexico
Step Parent Jose Luis Cienfuegos 08/25/1971 N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother w/Stepfather
Name of School
HightLinds College
Grade
1st.
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
J. Manzo
Data Entry
Y. Garcia