Pancho - RUB-JUA-92

Code: RUB-JUA-92
Mercy ID: V-01749-22
Encounter Date: 11/10/2004
Last: Rubio almonte
First: Juan
DOB: 10/20/1992
County: Gwinnett
Street: 818 Stillwater Lane
City: Lawrenceville
State: GA

Zip

30044-

Family Status

Attached youth

COB

Dominican Rep

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Ruth Almonte-Gorrell	05/13/1973	Dominican Rep
Father	Reynaldo Rubio	N/A	Dominican Rep
Step Parent	Anthony Gorrell	N/A	USA

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Sweetwater Middle
Grade: 6th.
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: K. Aleman
Data Entry: K. Aleman