ROD-FER-99

Code
ROD-FER-99
Mercy ID
V-02066-21
Encounter Date
10/19/2005
Last
Bustos
First
Fernando
DOB
03/20/1999
County
Dekalb
Street
3036 Shallowford Rd. F-10
City
Doraville
State
GA
Zip
30340-
Cell
(404) 438-2280
Family Status
Attached youth
COB
USA
Gender
Male Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Ma. de Lourdes Rodrigues 12/24/1973 Mexico
Father Russell Rodrigues 06/01/1978 USA
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Cary Reynolds Elem.
Grade
1st.
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
Volunteer
Data Entry
R. Gonzalez