Pancho - VAL-HUG-90

Code: VAL-HUG-90
Mercy ID: V-00052-21
Encounter Date: 01/09/2000
Last: Valdez
First: Hugo
DOB: 09/17/1990
County: Cobb
Street: 1967 Judy Cr.
City: Marietta
State: GA

Zip

30060-

Home

(770) 434-0279

Family Status

Child/Youth

COB

Mexico

Gender

Male Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Margarita Valdez	07/20/1966	Mexico
Father	Rafael Valdez	10/24/1966	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Chatahochee College
Grade: 1st.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Manzo
Data Entry: K. Aleman