Pancho - COR-VIC-94

Code: COR-VIC-94
Mercy ID: V-00878-21
Encounter Date: 04/03/2002
Last: Cortez
First: Victor
DOB: 02/08/1994
County: Fulton
Street: 5065 Dixie Lake
City: Union city
State: GA

Zip

30291-

Home

(770) 969-8935

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Leticia Cortez	03/19/1972	Mexico
Father	Victor Cortez	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Campbell Elementary School
Grade: N/A
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