Pancho - MON-ROD-95

Code: MON-ROD-95
Mercy ID: V-00643-21
Encounter Date: 09/26/2001
Last: Montiel
First: Rodrigo
DOB: 04/23/1995
County: Gwinnett
Street: 3925 Creek Water Ct.
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 638-3602

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Patricia Gonzalez	04/14/1967	Mexico
Father	Hector Montiel	01/02/1957	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Rebecca Minor Elementary
Grade: 1st.
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: Y. Garcia
Data Entry: K. Aleman