AGU-DEN-97

Code
AGU-DEN-97
Mercy ID
V-02824-21
Encounter Date
06/25/2008
Last
Aguilar
First
Dennis
DOB
05/16/1997
County
Gwinnett
Street
1507 Hunters Club
City
Norcross
State
GA
Zip
30093-
Cell
(404) 951-2506
Family Status
Child/Youth
COB
Honduras
Gender
Male Child
Housing
Single Family
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Ligia Aguilar 03/31/1980 Honduras
Father N/A N/A N/A
Step Parent Melvin España 12/17/1977 Holanda
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother w/Stepfather
Name of School
Lilburn Middle School
Grade
8th.
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
YES
Authoritation Child
No
DOY PERMISO
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
F. Gomez
Data Entry
J. Manzo