ALB-VIC-85

Code
ALB-VIC-85
Mercy ID
V-02013-02
Encounter Date
08/03/2005
Last
Alberto
First
Vicente
DOB
09/05/1985
County
Clayton
Street
1080 Pine Medow Dr.
City
Morrow
State
GA
Zip
30260-
Home
(678) 437-7797
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
High school graduate
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
Maria de la luz is the male's sister. Domestic dispute
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