MEJ-BRY-98

Code
MEJ-BRY-98
Mercy ID
V-03425-21
Encounter Date
01/29/2011
Last
Mejia
First
Bryan
DOB
10/18/1998
County
Dekalb
Street
6750 Peachtree Boulevard
City
Atlanta
State
GA
Zip
30360-
Cell
(404) 552-2071
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Single Family
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Maria Mayorga 07/06/1973 Mexico
Father Rene Mejia 11/25/1974 Honduras
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Peachtree Middle School
Grade
6th.
Who Can't Pickup the Child

Media

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