GAR-MAR-98

Code
GAR-MAR-98
Mercy ID
V-03243-12
Encounter Date
01/27/2010
Last
Garcia
First
Mary
DOB
10/13/1998
County
Clayton
Street
624 Redfox Trail
City
Jonesboro
State
GA
Zip
30238-
Cell
(770) 292-8977
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Leticia Lopez 04/28/1967 Mexico
Father Juan Garcia 10/02/1966 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
Medical Alert
NOTES
Quistes
Lives With
Mother
Name of School
Hawthorne Elem
Grade
5th.
Who Can't Pickup the Child

Media

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