Pancho - CRU-JAN-92

Code: CRU-JAN-92
Mercy ID: V-01167-11
Encounter Date: 05/07/2003
Last: Cruz
First: Janet
DOB: 03/01/1992
County: Dekalb
Street: 3076 North Decatur Rd.
City: Atlanta
State: GA

Zip

30079-

Home

(404) 343-0056

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Flavia Vazquez	05/07/1973	Mexico
Father	Raymundo Cruz	12/30/1973	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: 4th.
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