HER-LIZ-99

Code
HER-LIZ-99
Mercy ID
V-02369-11
Encounter Date
12/20/2006
Last
Hernandez
First
Lizette
DOB
08/25/1999
County
Clayton
Street
not given
City
Jonesboro
State
GA
Zip
99999-9999
Home
(404) 438-4796
Family Status
Attached youth
COB
USA
Gender
Female Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Luvia Boyzo 12/28/1980 Mexico
Father N/A N/A 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
2nd.
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