Pancho - MAR-EDG-94

Code: MAR-EDG-94
Mercy ID: V-00102-25
Encounter Date: 04/05/2000
Last: Martinez
First: Edgar
DOB: 07/16/1994
County: Dekalb
Street: 130 Surrey Circle Apt. 4
City: Chamblee
State: GA

Zip

30341-

Home

(770) 220-0461

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	Evelia Franco	09/29/1963	Mexico
Father	Eduardo Martinez	10/13/1960	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Dresden
Grade: Kinder
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: K. Aleman
Data Entry: K. Aleman