Pancho - CRU-ARI-65

Code: CRU-ARI-65
Mercy ID: V-00103-02
Encounter Date: 09/13/2000
Last: Cruz
First: Aristeo
DOB: 05/05/1965
County: Dekalb
Street: 3201 Henderson Mill Rd. Apt. 7A
City: Atlanta
State: GA

Zip

30341-

Home

(678) 725-9414

Cell

(678) 725-0565

Family Status

Single parent w/children

COB

Mexico

Gender

Male

Housing

Not Homeless

Education Level

College Degree

Home Owner

YES

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
Lives With: N/A
Name of School: N/A
Grade: N/A
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: F. Perez
Data Entry: K. Aleman