Pancho - SAR-IBR-01

Code: SAR-IBR-01
Mercy ID: V-02021-21
Encounter Date: 09/28/2005
Last: Sarr
First: Ibraham
DOB: 10/25/2001
County: Gwinnett
Street: 1050 Lulworth Lane
City: Lawrenceville
State: GA

Zip

30044-

Cell

(678) 754-9154

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Gabriela Cabrera	09/08/1973	Mexico
Father	Stephane Sarr	01/22/1972	West Africa
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: F. Gomez
Data Entry: R. Gonzalez