Pancho - VAS-WES-92

Code: VAS-WES-92
Mercy ID: V-00175-21
Encounter Date: 06/07/2000
Last: Vasquez
First: Westley
DOB: 05/03/1992
County: Dekalb
Street: Henderson mill X-1
City: Atltanta
State: GA

Zip

30342-

Home

(770) 938-9793

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Julieta Salas	07/30/1970	Mexico
Father	Miguel Vasquez	10/29/1965	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Plewntdale Elem.
Grade: 2nd.
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