BOL-NUJ-92

Code
BOL-NUJ-92
Mercy ID
V-02663-21
Encounter Date
12/12/2007
Last
Bolivar
First
Nujad
DOB
07/21/1992
County
Cobb
Street
2916 Mason Wood
City
Kennesaw
State
GA
Zip
30152-
Cell
(678) 522-0776
Family Status
Child/Youth
COB
Colombia
Gender
Male Child
Housing
Not Homeless
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother Lidice Funes 08/01/1973 Colombia
Father Miguel Bolivar 09/14/1956 Colombia
Step Parent Carlos Funes 06/10/1966 El Salvador
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother w/Stepfather
Name of School
kenesaw Mountain H.S.
Grade
10th.
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