Pancho - DIE-EDU-99

Code: DIE-EDU-99
Mercy ID: V-01944-21
Encounter Date: 06/22/2005
Last: Diego
First: Eduardo
DOB: 02/14/1999
County: Dekalb
Street: 6137 D New Peachtree Rd.
City: Atlanta
State: GA

Zip

30340-

Cell

(770) 875-5845

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Cristina Diego	11/20/1975	Mexico
Father	Juan Sanchez	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
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