CAS-JOS-94

Code
CAS-JOS-94
Mercy ID
V-02555-21
Encounter Date
08/15/2007
Last
Castillo
First
Jose luis
DOB
08/20/1994
County
Cobb
Street
5220 South Cobb Dr. Apt. 3-B
City
Smyrna
State
GA
Zip
30080-
Cell
(678) 949-8500
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Rosa Maria Robledo N/A Mexico
Father Luis Castillo 01/04/1968 USA
Step Parent Lucelly Martinez 01/15/1974 Mexico
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Father w/Stepmother
Name of School
Cambell M.S.
Grade
8th.
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
C. Martinez
Data Entry
J. Manzo