CIS-JUA-89

Code
CIS-JUA-89
Mercy ID
V-02688-21
Encounter Date
01/30/2008
Last
Cisneros
First
Juan jose
DOB
12/29/1989
County
Clayton
Street
905 White Oak Trail
City
Jonesboro
State
GA
Zip
30238-
Cell
(404) 552-4106
Family Status
Child/Youth
COB
Mexico
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Gabriela Artega 03/29/1970 Mexico
Father Juan Jose Cisneros 09/28/1965 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother w/Stepfather
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
C. Martinez
Data Entry
J. Manzo