Pancho - PER-DAN-02

Code: PER-DAN-02
Mercy ID: V-01689-22
Encounter Date: 09/15/2004
Last: Perez
First: Danny
DOB: 03/24/2002
County: Gwinnett
Street: 2428 Sweet Stab
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 339-8387

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	H. Morales	12/04/1979	Mexico
Father	Manuel Perez	06/16/1976	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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