CRU-JEN-00

Code
CRU-JEN-00
Mercy ID
V-02662-11
Encounter Date
03/19/2008
Last
Cruz
First
Jennifer
DOB
12/06/2000
County
Gwinnett
Street
6534 Hilladale Dr. Apt. G
City
Norcross
State
GA
Zip
30092-
Home
(678) 368-1325
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Erasta Cruz 01/18/1978 Mexico
Father Enrique Cruz 07/24/1979 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Peachtree Elem
Grade
1st.
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
C. Martinez
Data Entry
J. Manzo