Pancho - REY-ERI-04

Code: REY-ERI-04
Mercy ID: V-02142-21
Encounter Date: 01/18/2006
Last: Reyes aguero
First: Erick armando
DOB: 07/21/2004
County: Dekalb
Street: 3730 Carol Dr
City: Doraville
State: GA

Zip

30340-

Home

(770) 458-9598

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Olivia Aguero	01/22/1977	Mexico
Father	Armando Reyes	10/29/1981	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: R. Gonzalez
Data Entry: R. Gonzalez