STO-BRU-08

Code
STO-BRU-08
Mercy ID
V-02901-21
Encounter Date
10/29/2008
Last
Stout
First
Bruno
DOB
05/05/2008
County
Fulton
Street
999 shelter
City
Atlanta
State
GA
Zip
30317-
Cell
(404) 287-8823
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Shelter
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Luz Pinzon 01/30/1973 Colombia
Father Joseph Stout 08/27/1973 USA
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child
Joseph P. Stout

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