Pancho - ORE-VIC-92

Code: ORE-VIC-92
Mercy ID: V-00455-21
Encounter Date: 04/04/2001
Last: Orellana
First: Victor
DOB: 06/03/1992
County: Cobb
Street: 410 Mcarthur Dr.
City: Marietta
State: GA

Zip

30060-

Home

(770) 428-0733

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Nora De Avila	02/01/1969	Mexico
Father	Victor Orellana	02/14/1966	Belize
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Lockhead Elem
Grade: 3rd.
Who Can't Pickup the Child: father/ Victor Orellana
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: K. Aleman
Data Entry: D. Gomez