HER-JES-99

Code
HER-JES-99
Mercy ID
V-02074-21
Encounter Date
10/26/2005
Last
Hernandez
First
Jesus
DOB
10/09/1999
County
Dekalb
Street
4159 Church St. Apt 8E
City
Clarkston
State
GA
Zip
30021-
Home
(404) 399-1986
Cell
(678) 472-5464
Family Status
Attached youth
COB
USA
Gender
Male Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Sara España 09/26/1975 Mexico
Father Jesus Hernandez 10/05/1972 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Jolley Elem
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
Volunteer
Data Entry
R. Gonzalez