CRU-GER-00

Code
CRU-GER-00
Mercy ID
V-00884-21
Encounter Date
03/27/2002
Last
Cruz
First
Gerardo
DOB
04/14/2000
County
Dekalb
Street
1910 Skyland Rd. Apt. B
City
Atlanta
State
GA
Zip
30319-
Home
(404) 327-5962
Family Status
Attached youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Graciela Cruz 08/24/1964 Mexico
Father Jose Pablo Cruz 06/29/1973 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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
Y. Garcia
Data Entry
K. Aleman