Pancho - RUI-NAT-90

Code: RUI-NAT-90
Mercy ID: V-00793-12
Encounter Date: 01/09/2002
Last: Ruiz
First: Nataly
DOB: 01/28/1990
County: Gwinnett
Street: 1358 Country Down Dr.
City: Norcross
State: GA

Zip

30093-

Home

(770) 638-8682

Family Status

Attached youth

COB

Venezuela

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Miriam Ruiz	10/28/1958	Venezuela
Father	Francisco Ruiz	12/11/1957	Venezuela
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Middle Creek Elementary
Grade: 5th.
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: Y. Garcia
Data Entry: K. Aleman