MEN-APR-98

Code
MEN-APR-98
Mercy ID
V-02803-11
Encounter Date
05/28/2008
Last
Mendez
First
April
DOB
06/05/1998
County
Gwinnett
Street
956 Walnut Dr.
City
Lawrenceville
State
GA
Zip
30044-
Home
(678) 353-9524
Cell
(678) 353-9524
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Single Family
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Juana Serna 05/08/1971 Mexico
Father Felipe Mendez 03/16/1967 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Benefield Elementary
Grade
5th.
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
F. Gomez
Data Entry
J. Manzo