Pancho - VEL-LUI-93

Code: VEL-LUI-93
Mercy ID: V-02284-21
Encounter Date: 10/08/2006
Last: Velazquez
First: Luis
DOB: 08/07/1993
County: Gwinnett
Street: 3350 Sweetwater
City: Lawrenceville
State: GA

Zip

30029-

Home

(770) 935-9566

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Ma. Magdalena Gonzalez	07/23/1969	Mexico
Father	Felipe Velazquez	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: Lawrenceville Hight
Grade: 10th.
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: G. Landeros
Data Entry: J. Manzo