BON-FRE-98

Code
BON-FRE-98
Mercy ID
B-00046-21
Encounter Date
06/24/1998
Last
Bonilla
First
Freddy jose
DOB
10/26/1995
County
Other
Street
1212 Ivey Park Lane
City
Norcross
State
GA
Zip
30092-
Home
(770) 448-0379
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Other
Education Level
Other
Home Owner
No

Parents Information

Name DOB COB
Mother Rosa Bonilla Herrera N/A 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
N/A
Grade
N/A
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. Manzo
Data Entry
K. Aleman