Pancho - ESP-GEN-00

Code: ESP-GEN-00
Mercy ID: V-02824-11
Encounter Date: 06/25/2008
Last: España
First: Genesis
DOB: 07/19/2000
County: Gwinnett
Street: 1507 Hunters Club
City: Norcross
State: GA

Zip

30093-

Cell

(404) 951-2506

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Ligia Aguilar	03/31/1980	Honduras
Father	Melbin España	12/17/1977	Honduras
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Nesbit Elem
Grade: 5th.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: F. Gomez
Data Entry: J. Manzo