GON-JEN-99

Code
GON-JEN-99
Mercy ID
V-01717-11
Encounter Date
10/13/2004
Last
Gonzalez
First
Jennifer
DOB
04/27/1999
County
Cherokee
Street
120 Oak Forest Dr.
City
Canton
State
GA
Zip
30115-
Home
(678) 472-9431
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Not Homeless
Home Owner
YES

Parents Information

Name DOB COB
Mother Carolina Flores 05/27/1978 Mexico
Father Francisco j. Gonzalez 12/19/1966 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
N/A
Grade
Kinder
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