Pancho - COR-EDU-92

Code: COR-EDU-92
Mercy ID: V-01080-21
Encounter Date: 01/22/2003
Last: Cortez
First: Eduardo
DOB: 12/04/1992
County: Fulton
Street: 1931 Stanton Rd.
City: East point
State: GA

Zip

30344-

Home

(404) 766-4908

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	Mireya Romero	04/07/1969	Mexico
Father	Eduardo Cortez	11/07/1965	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Conly Hills Elementary
Grade: 4th.
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