LOP-MAR-16

Code
LOP-MAR-16
Mercy ID
V-02040-11
Encounter Date
09/28/2005
Last
Lopez
First
Maria
DOB
01/16/1997
County
Gwinnett
Street
3410 Palisdale Lake Dr
City
Duluth
State
GA
Zip
30096-
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Claudia Lopez 03/16/1976 Mexico
Father N/A N/A Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
There is another child w/the same code of lop-mar-97. Used to day of d.o.b. as the new code for this child.
Lives With
Mother
Name of School
hattahoochee Elementary
Grade
3rd.
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
F. Gomez
Data Entry
R. Gonzalez