Pancho - CAL-SER-93

Code: CAL-SER-93
Mercy ID: V-00129-21
Encounter Date: 02/09/2000
Last: Calvillo
First: Sergio
DOB: 02/09/2000
County: Gwinnett
Street: 2601 Tree House Pr Way
City: Norcross
State: GA

Zip

30093-

Home

(678) 937-0684

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	Elizabeth Calvillo	02/27/1974	Mexico
Father	Sergio Florencio	03/22/1968	Mexico
Step Parent	Fernando Herrera	08/12/1974	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Nesbit
Grade: 1st.
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: M. Ryan
Data Entry: D. Gomez