Pancho - HER-OSC-93

Code: HER-OSC-93
Mercy ID: V-00727-21
Encounter Date: 03/06/2002
Last: Hernandez
First: Oscar
DOB: 11/07/1993
County: Fulton
Street: 315 Karen Dr.
City: Alpharetta
State: GA

Zip

30004-

Home

(770) 777-0469

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Ana Hernandez	03/20/1969	Mexico
Father	Oscar Hernandez	04/21/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Hembree Spring Elementary
Grade: 2nd.
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