Pancho - GUE-ELO-96

Code: GUE-ELO-96
Mercy ID: V-02725-21
Encounter Date: 03/31/2008
Last: Guerra
First: Eloy
DOB: 09/14/1996
County: Dekalb
Street: 2283 Dunwoody Crossing Apts.
City: Atlanta
State: GA

Zip

30338-

Home

(770) 986-7775

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Martha Ramirez	05/11/1960	Mexico
Father	Rodolfo Guerra	06/20/1963	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
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: J. Manzo