Pancho - AGU-REN-87

Code: AGU-REN-87
Mercy ID: V-00682-21
Encounter Date: 09/19/2001
Last: Aguilar
First: Rene
DOB: 10/26/1987
County: Dekalb
Street: 6750 Peachtree Industrial Blv. Apt. 2005
City: Doraville
State: GA

Zip

30360-

Home

(770) 734-8090

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	Maria Aguilar	06/04/1967	Mexico
Father	Rene Aguilar	04/30/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Peachtree Middle School
Grade: 8th.
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