COB-SER-97

Code
COB-SER-97
Mercy ID
V-00578-22
Encounter Date
10/03/2001
Last
Cobarrubias
First
Sergio jr
DOB
11/20/1997
County
Fulton
Street
470 King Arnold St.
City
Hapeville
State
GA
Zip
30354-
Home
(404) 664-8679
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Amelia Rojas 01/05/1974 Mexico
Father Sergio Cobarrubias 05/27/1970 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
N/A
Grade
N/A
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
K. Aleman