Pancho - ROJ-LUI-99

Code: ROJ-LUI-99
Mercy ID: V-00918-21
Encounter Date: 05/01/2002
Last: Rojas
First: Luis
DOB: 01/11/1999
County: Gwinnett
Street: 2583 Wind Dr.
City: Norcross
State: GA

Zip

30071-

Home

(770) 256-4637

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Ana Ramirez	07/29/1968	Mexico
Father	Eduardo Rojas	05/13/1969	Mexico
Step Parent	N/A	N/A	N/A

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