Pancho - SAN-VIC-96

Code: SAN-VIC-96
Mercy ID: V-00164-41
Encounter Date: 04/05/2000
Last: Sanchez
First: Victor
DOB: 03/12/1996
County: Dekalb
Street: 1917 MeanVille Dr
City: Chamblee
State: GA

Zip

30341-

Home

(770) 457-7130

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Guadalupe Ramirez	09/30/1956	Mexico
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Grandparents
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: K. Aleman
Data Entry: D. Gomez