Pancho - GON-JUL-89

Code: GON-JUL-89
Mercy ID: V-01466-22
Encounter Date: 01/14/2004
Last: Gonzalez
First: Julio
DOB: 09/08/1989
County: Dekalb
Street: 3603 Meadowglen Village Lane
City: Doraville
State: GA

Zip

30340-

Home

(678) 437-0614

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Beatriz Hernandez	03/10/1973	Mexico
Father	Raul Gonzalez	08/07/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Father
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: Y. Garcia
Data Entry: K. Aleman