MAL-MIL-06

Code
MAL-MIL-06
Mercy ID
V-02551-23
Encounter Date
04/15/2009
Last
Maldonado
First
Milton
DOB
05/02/2006
County
Cobb
Street
540 Cobb Circle
City
Smyrna
State
GA
Zip
30082-
Cell
(770) 895-0023
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother matilde Perez 03/14/1979 Mexico
Father Rodrigo maldonado 03/13/1977 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
C. Martinez
Data Entry
J. Manzo