Pancho - CRU-PED-86

Code: CRU-PED-86
Mercy ID: B-00048-21
Encounter Date: 06/17/1998
Last: Cruz
First: Pedro jr
DOB: 06/26/1986
County: Dekalb
Street: 4391 Highland Rd.
City: Decatur
State: GA

Zip

30035-

Home

(404) 286-4021

Family Status

Attached youth

COB

Puerto Rico

Gender

Male Child

Housing

Other

Education Level

Other

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Lynnette Betancourt	N/A	Puerto Rico
Father	Pedro Cruz	N/A	Puerto Rico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
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: K. Aleman