PRO-EVE-01

Code
PRO-EVE-01
Mercy ID
V-00949-12
Encounter Date
06/12/2002
Last
Proa
First
Evelyn
DOB
06/17/2001
County
Gwinnett
Street
5182 Edgemoore Dr.
City
Norcross
State
GA
Zip
30071-
Home
(770) 446-8221
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Guadalupe Urbina 08/17/1974 Mexico
Father Arturo Proa 02/07/1972 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
K. Aleman
Data Entry
K. Aleman