VAR-IRV-90

Code
VAR-IRV-90
Mercy ID
V-02215-41
Encounter Date
04/19/2006
Last
Vargas
First
Irvin daniel
DOB
12/10/1989
County
Gwinnett
Street
1100 Omaha Dr.
City
Norcross
State
GA
Zip
30093-
Cell
(404) 849-7749
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother Eluteria Vargas 02/20/1967 Mexico
Father N/A N/A Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Nephew. Lives with aunt.
Lives With
Aunt
Name of School
Cross Keys High School
Grade
10th.
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. Gonzalez
Data Entry
R. Gonzalez