Pancho - LOP-EDG-96

Code: LOP-EDG-96
Mercy ID: V-01319-21
Encounter Date: 07/20/1996
Last: Lopez
First: Edgar
DOB: 07/20/1996
County: Gwinnett
Street: 5522 Roman Point
City: Norcross
State: GA

Zip

30093-

Home

(770) 931-6861

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	Gregoria Arguella	05/09/1973	Mexico
Father	N/A	N/A	Mexico
Step Parent	Mauricio Landaverde	08/22/1961	El Salvador

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: Meadow Creek Elementary
Grade: 2nd.
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