ROS-GEM-04

Code
ROS-GEM-04
Mercy ID
V-02486-11
Encounter Date
04/25/2007
Last
Rosas
First
Gema july
DOB
07/07/2004
County
Fulton
Street
501 Conel Ave. L-B-14
City
Atlanta
State
GA
Zip
30315-
Cell
(404) 914-7305
Family Status
Attached youth
COB
USA
Gender
Female Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Cecilia Rosas 11/04/1976 Mexico
Father Alfredo Varela 12/12/1977 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
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
Volunteer
Data Entry
J. Manzo