REY-JOS-04

Code
REY-JOS-04
Mercy ID
V-01893-02
Encounter Date
08/23/2005
Last
Reyes
First
Jose
DOB
04/05/1969
County
Gwinnett
Street
3115
City
Duluth
State
GA
Zip
30069-
Home
(101) 319-5698
Family Status
Adult coupie-no children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother N/A N/A N/A
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
There is another Reyes, Jose in the data base, with the same code of REY-JOS-69. For this male I used the month of his birthdate to complete the new code.
Lives With
N/A
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
R. Miranda
Data Entry
R. Gonzalez