Pancho - PAN-GIL-93

Code: PAN-GIL-93
Mercy ID: V-00960-21
Encounter Date: 06/26/2002
Last: Pantoja
First: Gilberto
DOB: 02/09/1993
County: Fulton
Street: 5737 Roswell Rd. #635
City: Atlanta
State: GA

Zip

30342-

Home

(404) 236-0902

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Ignacia Peña	02/01/1968	Mexico
Father	Cirilo Pantoja	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: High Point 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