Pancho - HER-JUN-90

Code: HER-JUN-90
Mercy ID: V-01722-21
Encounter Date: 10/13/2004
Last: Hernandez
First: Junior
DOB: 04/02/1990
County: Gwinnett
Street: 1454 Country Down Dr.
City: Norcross
State: GA

Zip

30093-

Home

(770) 923-8684

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 Hernandez	10/10/1965	Mexico
Father	Pedro Hernandez	08/12/1963	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Meadow Creek High School
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