JIM-ALE-03

Code
JIM-ALE-03
Mercy ID
V-03191-12
Encounter Date
10/21/2009
Last
Jimenez
First
Alexa
DOB
06/17/2003
County
Clayton
Street
444 Cedar Court
City
Riverdale
State
GA
Zip
30274-
Home
(770) 603-2717
Family Status
Child/Youth
COB
Mexico
Gender
Female Child
Housing
Single Family
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Martha Torrez 01/17/1974 Mexico
Father Alvaro Jimenez 05/18/1973 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Point Suth
Grade
1st.
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