IBA-PAU-04

Code
IBA-PAU-04
Mercy ID
V-01670-12
Encounter Date
08/04/2004
Last
Ibarra
First
Paulina
DOB
02/28/2004
County
Dekalb
Street
1206 Winters Creek Dr.
City
Doraville
State
GA
Zip
30360-
Home
(404) 447-4766
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Guadalupe Tapia 05/15/1975 Mexico
Father Santiago Ibarra 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