Pancho - HER-VIC-02

Code: HER-VIC-02
Mercy ID: V-01902-21
Encounter Date: 05/11/2005
Last: Hernandez
First: Victor
DOB: 07/24/2002
County: Other
Street: 3506 Buford Hwy Apt 6
City: Not given
State: GA

Zip

30329-

Home

(678) 913-7606

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Arodi Morales	11/17/1979	Mexico
Father	Victor Hugo Hernandez	07/18/1977	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: Volunteer
Data Entry: K. Aleman