Pancho - CRU-MAT-97

Code: CRU-MAT-97
Mercy ID: V-00091-21
Encounter Date: 05/30/2001
Last: Cruthers
First: Matthew
DOB: 01/21/1997
County: Gwinnett
Street: 990 Eagle Point Dr.
City: Lawrenceville
State: GA

Zip

30044-

Home

(678) 376-0293

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Cruthers	02/12/1957	Chile
Father	David Cruthers	08/09/1954	EEUU
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Beaver Ridge
Grade: 2nd.
Who Can't Pickup the Child: David Cruthers
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