CAN-RUB-72

Code
CAN-RUB-72
Mercy ID
V-00149-02
Encounter Date
03/14/2000
Last
Cano
First
Ruben
DOB
04/02/1972
County
Fulton
Street
390 Ikwin St. Apt. A-7
City
Atlanta
State
GA
Zip
30312-
Home
(404) 525-4783
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade 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
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
Y. Garcia