BUS-ADR-08

Code
BUS-ADR-08
Mercy ID
V-00239-61
Encounter Date
02/09/2009
Last
Bustos
First
Adrian
DOB
05/26/1968
County
Gwinnett
Street
3398 Chelsa Park #-6
City
Norcros
State
GA
Zip
30092-
Cell
(678) 914-9096
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Single Family
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Cecilia Delgado-Abuela 06/04/1959 Mexico
Father N/A N/A Mexico
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

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
J. Manzo