BER-CAR-86

Code
BER-CAR-86
Mercy ID
V-00008-21
Encounter Date
01/12/2000
Last
Beronis
First
Carlos
DOB
06/21/1986
County
Fulton
Street
529 huntington pl
City
Roswell
State
GA
Zip
30076-
Home
(678) 461-9737
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother carmen beronis 02/05/1959 Mexico
Father jesus beronis 10/19/1956 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
crab apple medleschool
Grade
8th.
Who Can't Pickup the Child
jesus beronis

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
D. Gomez