Pancho - ORT-JUL-88

Code: ORT-JUL-88
Mercy ID: V-00674-21
Encounter Date: 09/12/2001
Last: Ortiz
First: Julio cesar
DOB: 07/04/1988
County: Gwinnett
Street: 1545 Spender Dr.
City: Norcross
State: GA

Zip

30093-

Home

(770) 849-0629

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Francisca Hernandez	10/06/1966	Mexico
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Linwood Middle
Grade: 7th.
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: K. Aleman
Data Entry: K. Aleman