MAR-ANG-98

Code
MAR-ANG-98
Mercy ID
V-02520-13
Encounter Date
06/27/2007
Last
Martinez
First
Angie
DOB
12/14/1998
County
Fulton
Street
1198 Lowe Lane
City
Roswell
State
GA
Zip
30076-
Cell
(678) 558-5366
Family Status
Child/Youth
COB
Mexico
Gender
Female Child
Housing
Single Family
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Maria Elena Valle 08/18/1973 Mexico
Father N/A N/A N/A
Step Parent Bernardo Martinez 08/20/1968 Mexico
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Mimmosa Elem
Grade
3rd.
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