Pancho - HER-MAR-89

Code: HER-MAR-89
Mercy ID: V-01241-21
Encounter Date: 06/25/2003
Last: Herrera
First: Marco
DOB: 09/13/1989
County: Gwinnett
Street: 3262 Oak Vista Way
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 931-6851

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	Iris Herrera	07/02/1967	Honduras
Father	Marco Herrera	N/A	Honduras
Step Parent	Carlos Moran	07/01/1973	El Salvador

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Sweetwater Middle School
Grade: 8th.
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