URI-JOS-05

Code
URI-JOS-05
Mercy ID
V-03031-21
Encounter Date
05/04/2009
Last
Uribe
First
Joshua
DOB
10/22/2005
County
Dekalb
Street
4605 Peachtree Place Park
City
Doraville
State
GA
Zip
30340-
Home
(770) 896-2854
Cell
(770) 873-8363
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Single Family
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Miriam Cuevas 08/14/1977 Mexico
Father Sergio Uribe 10/03/1975 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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
J. Perez
Data Entry
J. Manzo