ARR-PRI-02

Code
ARR-PRI-02
Mercy ID
V-02635-11
Encounter Date
05/05/2009
Last
Arroyo
First
Pricila
DOB
03/14/2002
County
Dekalb
Street
3852 Maelroy # J-3
City
Doraville
State
GA
Zip
30340-
Home
(678) 530-0419
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Shelter
Home Owner
No

Parents Information

Name DOB COB
Mother Adulfa Flores 12/31/1968 Mexico
Father Miguel Arroyo 04/23/1970 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
G. Landeros
Data Entry
J. Manzo