Pancho - GUE-CAR-99

Code: GUE-CAR-99
Mercy ID: V-00056-21
Encounter Date: 02/08/2000
Last: Guerrero
First: Carlos
DOB: 08/08/1999
County: Cobb
Street: 425 lake dr apt. b-4
City: Cobb
State: GA

Zip

30060-

Home

(678) 354-3954

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	liliana guerrero	10/25/1979	Mexico
Father	carlos calleja	06/19/1979	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: J. Manzo
Data Entry: S. Aviña