LAST NAME:

PARRA

FIRST NAME:
ELSA

ADDRESS:
NO NAME STREET

MIDDLE NAME:
PATRICIA

NUMBER:
NO NUMBER

CITY:
MEXICALI

STATE:
BAJA
CALIFORNIA

SCHOOL:
SECONDARY 11

GRADE:
THIRD

ZIP CODE:
21620

TELEPHONE:
686-144-00-00

TEACHERS
NAME:
MRS. PATTY
PARRA
BIRTHDATE (month, day, year)
JUNE 7th, 2015

E-MAIL
Patyparra7671@gmail.com

FACE:
Paty Parra

Put your photo

here

GROUP:
C

I agree to be responsible for all

materials in the library; to report a
bad use of the books; to observe
the library rules are respected; to
pay any damage made by me;
and to notify the library of any
name change or address changes.
_______________________________
STUDENTS SIGNATURE