Pancho - HAL-NIG-97

Code: HAL-NIG-97
Mercy ID: V-03171-22
Encounter Date: 09/30/2009
Last: Hall
First: Nigal
DOB: 10/13/1997
County: Cobb
Street: 204 Timber Creek Lane
City: Marietta
State: GA

Zip

30060-

Cell

(678) 274-2321

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	Isela E. Ordoñes	03/01/1977	Mexico
Father	Jason Hall	10/03/1967	USA
Step Parent	Juan A. Ordoñes	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Norton Park Elem
Grade: 5th.
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