Pancho - HER-MIG-01

Code: HER-MIG-01
Mercy ID: V-02059-22
Encounter Date: 10/12/2005
Last: Hernandez
First: Miguel angel
DOB: 09/10/2001
County: Dekalb
Street: 3683 Buford Hwy
City: Atlanta
State: GA

Zip

30329-

Home

(404) 315-0139

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	Gricelia Morales	06/21/1981	Mexico
Father	Genaro Hernandez	09/19/1975	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