Pancho - LUA-ADA-88

Code: LUA-ADA-88
Mercy ID: V-00726-21
Encounter Date: 03/30/1988
Last: Luangkhot
First: Adan
DOB: 03/30/1988
County: Clayton
Street: 1035 Scott Rd.
City: Riverdale
State: GA

Zip

30296-

Home

(770) 997-0503

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	Juanita Fernandez	05/16/1962	Mexico
Father	lamphanh Luahgkhot	09/12/1963	Other
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Kendrick Middle
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: Y. Garcia
Data Entry: K. Aleman