ANG-CIP-91

Code
ANG-CIP-91
Mercy ID
V-00162-22
Encounter Date
04/05/2000
Last
Angel
First
Cipriano
DOB
10/26/1991
County
Gwinnett
Street
1015 chase common dr
City
Norcross
State
GA
Zip
30071-
Home
(770) 825-0155
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 norma aguilar 10/04/1971 El Salvador
Father cipriano angel 09/30/1960 Guatemala
Step Parent juan garcia 12/12/1975 Mexico
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother w/Stepfather
Name of School
rockbridge elem
Grade
2nd.
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
K. Aleman
Data Entry
S. Aviña