GON-AND-05

Code
GON-AND-05
Mercy ID
V-02290-21
Encounter Date
08/15/2007
Last
Gonzalez
First
Andree
DOB
10/08/2005
County
Gwinnett
Street
1470 Buggs Rd. Apt. 503
City
Duluth
State
GA
Zip
30096-
Home
(770) 572-9619
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 Selene Alvahuante 01/29/1982 Mexico
Father Oscar Gonzalez 11/06/1976 Cuba
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
El niño se llamaba Luis Manuel Gonzalez y ella fua a la corte y le cambio el nombre a Andree Gonzalez
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
Y. Garcia
Data Entry
J. Manzo