Pancho - RIV-ARN-02

Code: RIV-ARN-02
Mercy ID: V-02583-22
Encounter Date: 09/19/2007
Last: Rivas
First: Arnoldo
DOB: 08/02/2002
County: Gwinnett
Street: 1620 Puejel Road
City: Lawrenceville
State: GA

Zip

30043-

Home

(770) 339-9885

Family Status

Attached youth

COB

USA

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
Lives With: Parents
Name of School: Jackson Elemntary
Grade: Kinder
Who Can't Pickup the Child
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