CAS-IVA-93

Code
CAS-IVA-93
Mercy ID
V-02812-21
Encounter Date
06/18/2008
Last
Casarrubias
First
Ivan
DOB
03/09/1993
County
Fulton
Street
513 Highland Park Trail
City
Sandy springs
State
GA
Zip
30351-
Home
(678) 585-0763
Family Status
Two parent family w/children
COB
Mexico
Gender
Male Child
Housing
Single Family
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother Guadalupe Gonzalez 12/12/1974 Mexico
Father Cutberto Casarrubias 03/31/1973 Mexico
Step Parent Bryant Wulff N/A USA
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother w/Stepfather
Name of School
N. Springs High
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
F. Gomez
Data Entry
J. Manzo