GUT-FER-95

Code
GUT-FER-95
Mercy ID
V-02435-11
Encounter Date
04/23/2007
Last
Gutierrez
First
Fernanda
DOB
09/28/1995
County
Dekalb
Street
3160 Buford Hwy I-2
City
Atlanta
State
GA
Zip
30329-
Family Status
Attached youth
COB
USA
Gender
Female Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Celia Herrera 01/20/1968 Mexico
Father N/A N/A N/A
Step Parent Martin Antonio N/A Mexico
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother w/Stepfather
Name of School
Woodward Elem
Grade
4th.
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
G. Landeros
Data Entry
J. Manzo