CRU-LUI-77

Code
CRU-LUI-77
Mercy ID
V-02339-02
Encounter Date
10/09/2006
Last
Cruz
First
Luis
DOB
08/19/1972
County
Dekalb
Street
3223 Oakcliff Rd
City
Doraville
State
GA
Zip
30340-
Home
(404) 441-5919
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother N/A N/A N/A
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
N/A
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
J. Manzo
Data Entry
J. Manzo