RIV-BRI-97

Code
RIV-BRI-97
Mercy ID
V-02583-21
Encounter Date
09/17/2007
Last
Rivas
First
Bryan
DOB
07/30/1997
County
Gwinnett
Street
1620 Puesel Road
City
Lawrenceville
State
GA
Zip
30043-
Home
(770) 339-9885
Family Status
Attached youth
COB
El Salvador
Gender
Male Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Emerita Aldana 09/12/1962 El Salvador
Father Jose Jaime Rivas 04/13/1967 El Salvador
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Jackson Elemtary
Grade
4th.
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
J. Perez
Data Entry
J. Manzo