Pancho - HER-EMM-94

Code: HER-EMM-94
Mercy ID: V-00155-21
Encounter Date: 03/29/2000
Last: Hernandez
First: Emmitt
DOB: 11/27/1994
County: Dekalb
Street: 3569 #2 Dover Station Buford Hwy
City: Atlanta
State: GA

Zip

30329-

Cell

(404) 486-9941

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Rocio Navarrete	08/18/1974	Mexico
Father	Felipe Hernadez	05/25/1974	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Seven Oaks
Grade: Pre-K
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: K. Aleman
Data Entry: D. Gomez