MEN-CAR-95

Code
MEN-CAR-95
Mercy ID
V-00276-22
Encounter Date
09/20/2000
Last
Mendoza
First
Carlos
DOB
03/23/1995
County
Fulton
Street
5320 Roswell Rd
City
Atlanta
State
GA
Zip
30342-
Home
(404) 255-4578
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother julia muños 01/09/1962 Mexico
Father fernando mendoza 10/08/1957 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
five points
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
K. Aleman
Data Entry
D. Gomez