Pancho - SAN-VIC-98

Code: SAN-VIC-98
Mercy ID: V-01311-21
Encounter Date: 03/03/2004
Last: Sanchez
First: Victor
DOB: 11/04/1998
County: Fulton
Street: 13357 Aventide Lane
City: Alpharetta
State: GA

Zip

30004-

Home

(678) 366-9602

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Marcela Sanchez	03/21/1962	Perú
Father	Maximo Sanchez	06/19/1954	Perú
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: Pre-K
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