Pancho - SAN-ENR-00

Code: SAN-ENR-00
Mercy ID: V-00972-21
Encounter Date: 09/25/2002
Last: Sanchez
First: Enrique
DOB: 07/19/2000
County: Gwinnett
Street: 4877 Royal Dr.
City: Duluth
State: GA

Zip

30096-

Home

(770) 662-3075

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	Maria Gerbacio	02/07/1977	Mexico
Father	Clisenio Sanchez	04/26/1973	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