Pancho - VAS-ISA-94

Code: VAS-ISA-94
Mercy ID: V-00613-21
Encounter Date: 07/25/2001
Last: Vasquez
First: Isaac
DOB: 12/10/1994
County: Dekalb
Street: 2159 Dresden Dr. Apt.-B
City: Atlanta
State: GA

Zip

30341-

Home

(404) 327-9714

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Adriana Rendon	03/27/1970	Mexico
Father	Isaac Vasquez Sagrero	N/A	Mexico
Step Parent	Eugenio Bolaños	N/A	El Salvador

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Dresden Elementary
Grade: 1st.
Who Can't Pickup the Child: Isaac Vasquez Segrero
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: K. Aleman
Data Entry: K. Aleman