MAR-SHA-99

Code
MAR-SHA-99
Mercy ID
V-00959-22
Encounter Date
07/01/2002
Last
Marmolejo
First
Shadee
DOB
07/24/1999
County
Gwinnett
Street
347 River Brook Trail
City
Riverdale
State
GA
Zip
30274-
Home
(770) 996-7343
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Blanca Botello 09/20/1972 Mexico
Father Francisco Marmolejo N/A Mexico
Step Parent Ernesto Botello 12/24/1972 Cuba
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother w/Stepfather
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