Pancho - HUE-EDG-97

Code: HUE-EDG-97
Mercy ID: V-00142-21
Encounter Date: 03/15/2000
Last: Huerta
First: Edgar
DOB: 01/03/1997
County: Gwinnett
Street: 430 freeport dr
City: Lawrenceville
State: GA

Zip

30045-

Home

(770) 962-9158

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	erika mejia	07/22/1979	Mexico
Father	edgar huerta	12/08/1974	Mexico
Step Parent	N/A	N/A	N/A

Driver: YES
Relative: No
Stranger: No
Lives With: Parents
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: J. Perez
Data Entry: S. Aviña