Pancho - HER-KAR-93

Code: HER-KAR-93
Mercy ID: V-00855-11
Encounter Date: 03/13/2002
Last: Hernandez
First: Karen
DOB: 11/06/1993
County: Gwinnett
Street: 1157-T5 Forest Valley Lane
City: Norcross
State: GA

Zip

30093-

Home

(770) 925-0917

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Gloria Luna	01/01/1969	Mexico
Father	Domingo Hernandez	08/04/1963	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Lilburn 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