ALV-CAM-06

Code
ALV-CAM-06
Mercy ID
V-03242-11
Encounter Date
01/27/2010
Last
Alvarez
First
Camila
DOB
09/14/2006
County
Clayton
Street
636 Redfox Trail
City
Jonesboro
State
GA
Zip
30238-
Cell
(404) 552-6153
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Single Family
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Maria de los A. Gonzalez 08/02/1980 Mexico
Father Juan Alvarez Ramirez 02/06/1969 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

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