SAN-YUR-99

Code
SAN-YUR-99
Mercy ID
V-03510-12
Encounter Date
02/23/2011
Last
Santana
First
Yuritzi
DOB
10/10/1999
County
Fulton
Street
2400 Riverwood Lane Apt. G
City
Roswell
State
GA
Zip
30075-
Cell
(404) 447-8167
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 Nuñez 02/09/1981 Mexico
Father Osvaldo Santana 05/16/1977 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Mimosa Elem.
Grade
5th.
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