HER-JOC-95

Code
HER-JOC-95
Mercy ID
V-01392-12
Encounter Date
10/29/2003
Last
Herrera
First
Jocelyn
DOB
11/25/1995
County
Dekalb
Street
1843 Skyland Terrace
City
Atlanta
State
GA
Zip
30319-
Home
(404) 638-6899
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Mother Villanueva 05/06/1971 Mexico
Father Benjamin Herrera N/A Mexico
Step Parent Jose Mata 09/18/1977 Mexico
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother w/Stepfather
Name of School
Montclair Elementary
Grade
2nd.
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