Pancho - FLO-KEV-98

Code: FLO-KEV-98
Mercy ID: V-03028-22
Encounter Date: 09/02/2009
Last: Flores
First: Kevin
DOB: 03/26/1998
County: Gwinnett
Street: 3400 Sweetwater Rd. Apt. 1109
City: Lawrenceville
State: GA

Zip

30044-

Cell

(678) 334-0292

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	Beatriz Flores	07/29/1963	Mexico
Father	Paulin Flores	06/22/1967	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Louis Raudulph Middle
Grade: 6th.
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: C. Martinez
Data Entry: J. Manzo