SAN-EMA-06

Code
SAN-EMA-06
Mercy ID
V-01875-22
Encounter Date
09/17/2007
Last
Sanchez
First
Emmanuel
DOB
02/10/2006
County
Dekalb
Street
4920 Winter Chapel Road Apt. I-1
City
Dunwoody
State
GA
Zip
30360-
Cell
(404) 551-8942
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Griselda Lopez 10/22/1969 Mexico
Father Eduardo Lopez 06/19/1971 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
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
Volunteer
Data Entry
J. Manzo