SAN-EIT-04

Code
SAN-EIT-04
Mercy ID
V-02473-21
Encounter Date
06/27/2007
Last
Sanabria
First
Eithan
DOB
07/28/2004
County
Dekalb
Street
2515 N.E. Express Way Apt. A-10
City
Atlanta
State
GA
Zip
30329-
Cell
(678) 499-1240
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Mayela Lecona 09/09/1987 Mexico
Father Guillermo Sanabria 09/06/1984 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
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
C. Martinez
Data Entry
J. Manzo