Pancho - MIR-CHR-01

Code: MIR-CHR-01
Mercy ID: V-02493-21
Encounter Date: 05/23/2007
Last: Miranda
First: Christian
DOB: 01/23/2001
County: Gwinnett
Street: 3525 Club Dr.
City: Lawrenceville
State: GA

Zip

30044-

Home

(404) 867-7227

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Claudia de la Ossa	07/08/1980	Colombia
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Norcross Elem
Grade: Kinder
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