CUE-ALF-06

Code
CUE-ALF-06
Mercy ID
V-02538-21
Encounter Date
07/11/2007
Last
Cuenca
First
Alfonso
DOB
06/11/2006
County
Dekalb
Street
6750 Peachtree Ind. Blv. Apt. #614
City
Atlanta
State
GA
Zip
30360-
Cell
(404) 667-0148
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Single Family
Education Level
Preschool
Home Owner
YES

Parents Information

Name DOB COB
Mother Lucero Solis 08/26/1983 Mexico
Father Alfonso Cuenca 12/11/1980 Mexico
Step Parent Marciano Garcia 01/22/1978 Mexico
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother w/Stepfather
Name of School
headstar
Grade
Pre-K
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
YES
Authoritation Child
No
DOY PERMISO
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
C. Martinez
Data Entry
J. Manzo