MAY-AND-05

Code
MAY-AND-05
Mercy ID
V-02434-22
Encounter Date
03/12/2007
Last
Maya
First
Andrew
DOB
03/23/2005
County
Fulton
Street
1021 Garden Ridge
City
Alpharetta
State
GA
Zip
30009-
Cell
(678) 791-9333
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Single Family
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Sara Maya 03/10/1979 Mexico
Father Antonio Maya 07/04/2025 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
YES
Authoritation Child
No
DOY PERMISO
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
J. Manzo