Pancho - LEM-AND-97

Code: LEM-AND-97
Mercy ID: V-00966-23
Encounter Date: 07/03/2002
Last: Lemus
First: Andy
DOB: 10/31/1997
County: Dekalb
Street: 4198 Woodwin Court
City: Doraville
State: GA

Zip

30360-

Home

(770) 986-0050

Family Status

Attached youth

COB

Guatemala

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Miiram J. Lemus	04/01/1969	Guatemala
Father	Leopoldo Lemus	06/15/1967	Guatemala
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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