PAL-JUL-89

Code
PAL-JUL-89
Mercy ID
V-03236-02
Encounter Date
02/02/2010
Last
Palestino
First
Julio
DOB
04/21/1989
County
Dekalb
Street
4181 Woodwing Court
City
Doraville
State
GA
Zip
30360-
Cell
(678) 913-8979
Family Status
Two parent family w/children
COB
USA
Gender
Male
Housing
Doubling Up
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother N/A N/A N/A
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

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