Pancho - CAS-HEC-87

Code: CAS-HEC-87
Mercy ID: V-02035-21
Encounter Date: 09/14/2005
Last: Casanova
First: Hector
DOB: 03/28/1987
County: Fulton
Street: 0000
City: Alpharetta
State: GA

Zip

00000-

Home

(770) 480-9554

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

High school graduate

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Jovita Loera	04/08/1958	Mexico
Father	Hector Casanova	02/22/1950	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: R. Gonzalez