Pancho - ESC-CHR-00

Code: ESC-CHR-00
Mercy ID: V-02277-21
Encounter Date: 07/12/2006
Last: Escamilla
First: Christopher
DOB: 03/01/2000
County: Gwinnett
Street: 1120 Forrest Valley Ln. Apt X-4
City: Norcross
State: GA

Zip

30093-

Home

(770) 935-5227

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Ortencia Mendez	01/11/1977	Mexico
Father	Simon Escamilla	01/29/1977	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: lilburn Elem
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: Volunteer
Data Entry: J. Manzo