Pancho - AGU-YIM-95

Code: AGU-YIM-95
Mercy ID: V-00881-21
Encounter Date: 03/27/2002
Last: Aguilar
First: Yimmy
DOB: 11/02/1995
County: Dekalb
Street: 3534 Old Chamblee Tucker Rd. Apt 6
City: Doraville
State: GA

Zip

30340-

Home

(770) 908-8757

Family Status

Attached youth

COB

Colombia

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Irene Guzman	10/04/1964	Colombia
Father	N/A	N/A	Mexico
Step Parent	Jose Luis Diaz	08/16/1964	Panamá

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Hanthon 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: Y. Garcia
Data Entry: K. Aleman