REY-ANG-04

Code
REY-ANG-04
Mercy ID
V-03088-21
Encounter Date
06/03/2009
Last
Reyes
First
Angel
DOB
07/31/2004
County
Dekalb
Street
2209 Briarcliff Rd. Apt. 10
City
Atlanta
State
GA
Zip
30329-
Cell
(678) 353-1740
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Mirta Aguirre 12/28/1980 Argentina
Father Sahni Reyes 10/15/1982 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