GUT-LES-97

Code
GUT-LES-97
Mercy ID
V-00240-12
Encounter Date
07/07/2004
Last
Gutierrez
First
Lesly gudalupe
DOB
12/06/1997
County
Fulton
Street
5320 Roswell Rd. H-4
City
Atlanta
State
GA
Zip
30341-
Home
(678) 572-7739
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Other
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Ana Maria Petatan 05/23/1976 Mexico
Father N/A N/A Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
High Point Elementary
Grade
Kinder
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
R. Miranda