PAJ-MAT-99

Code
PAJ-MAT-99
Mercy ID
V-02649-21
Encounter Date
11/21/2007
Last
Pajares
First
Matthew
DOB
08/27/1999
County
Cobb
Street
4925 shallow Ridge Rd
City
Kennesaw
State
GA
Zip
30144-
Cell
(404) 496-4698
Family Status
Attached youth
COB
USA
Gender
Male Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Rocio Ramirez 02/12/1970 Perú
Father Jorge Pajares 03/22/1969 Perú
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Blackwell Elementary
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