VEG-RUB-01

Code
VEG-RUB-01
Mercy ID
V-02797-21
Encounter Date
05/28/2008
Last
Vega
First
Ruben
DOB
10/14/2001
County
Dekalb
Street
4001 Oak park Circle Apt. 6020
City
Atlanta
State
GA
Zip
30324-
Cell
(404) 578-9157
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Preschool
Home Owner
YES

Parents Information

Name DOB COB
Mother Luz Mayra Cruz 12/05/1979 Mexico
Father Ruben Vega 09/28/1977 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Bryan Vista
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