Pancho - LAG-LEO-73

Code: LAG-LEO-73
Mercy ID: V-02554-02
Encounter Date: 10/09/2007
Last: Lagunas
First: Leonardo
DOB: 04/11/1973
County: Gwinnett
Street: 3201 Hunter Ridge Lane
City: Norcross
State: GA

Zip

30092-

Cell

(770) 369-6076

Family Status

Single adult

COB

Mexico

Gender

Male

Housing

Other

Education Level

H.S. equivalency diploma

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	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: 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. Manzo
Data Entry: J. Manzo