INC-IRV-02

Code
INC-IRV-02
Mercy ID
V-01464-23
Encounter Date
01/25/2006
Last
Incinar
First
Irvin
DOB
06/24/2002
County
Gwinnett
Street
6310 Forest Valley Dr. Apt 2
City
Norcross
State
GA
Zip
30093-
Cell
(678) 558-6205
Family Status
Attached youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Jessica Zarco 03/07/1977 Mexico
Father Roverto Reyes 12/10/1969 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
Volunteer
Data Entry
R. Gonzalez