Pancho - SAN-DAV-96

Code: SAN-DAV-96
Mercy ID: V-01510-21
Encounter Date: 03/03/2004
Last: Sanchez
First: David
DOB: 07/31/1996
County: Fulton
Street: 1308 Lowe Lane
City: Roswell
State: GA

Zip

30076-

Home

(404) 579-0288

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	Maria R. Garcia	04/16/1978	Mexico
Father	David Sanchez	01/07/1971	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Mimosa Elemtary
Grade: 1st.
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