Pancho - HER-ELM-95

Code: HER-ELM-95
Mercy ID: V-00719-12
Encounter Date: 10/31/2001
Last: Hernandez
First: Elmis
DOB: 09/15/1995
County: Gwinnett
Street: 2029 Rockbridge Court E-51
City: Norcross
State: GA

Zip

30093-

Home

(770) 409-1221

Family Status

Attached youth

COB

El Salvador

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Bridelvina Torres	10/22/1979	El Salvador
Father	Ely Hernandez	12/16/1971	El Salvador
Step Parent	Carlos Gonzalez	03/24/1971	El Salvador

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Rockbridge Elementary
Grade: Kinder
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: I. Rodrigue
Data Entry: K. Aleman