GON-JUL-01

Code
GON-JUL-01
Mercy ID
V-01231-11
Encounter Date
05/21/2003
Last
Gonzalez
First
Julissa
DOB
12/03/2001
County
Gwinnett
Street
2802 Park Colony Dr.
City
Norcross
State
GA
Zip
30093-
Home
(000) 000-0000
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Raquel Olvera 03/12/1984 Mexico
Father Marcario Gonzalez N/A 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
Y. Garcia
Data Entry
K. Aleman