LOP-SAL-90

Code
LOP-SAL-90
Mercy ID
V-00959-11
Encounter Date
09/22/1999
Last
Lopez
First
Sally
DOB
09/09/1990
County
Not given
Street
215 Pleasandale Crossing
City
Doraville
State
GA
Zip
30340-
Home
(000) 000-0000
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Transitional
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Blanca Botello 09/20/1972 Mexico
Father Hoguer Lopez 10/18/1971 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Pleasandale Elementary
Grade
3rd.
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
K. Aleman