Pancho - CUE-UBA-92

Code: CUE-UBA-92
Mercy ID: V-01440-21
Encounter Date: 01/21/2004
Last: Cuevas
First: Ubaldo jr
DOB: 04/22/1992
County: Fulton
Street: 390 Irwin Street apt A11
City: Atlanta
State: GA

Zip

30312-

Home

(404) 522-3188

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria Guillen	06/09/1972	Mexico
Father	Ubaldo Cuevas	05/16/1970	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