Pancho - GON-ROB-91

Code: GON-ROB-91
Mercy ID: V-00281-21
Encounter Date: 10/27/2000
Last: Gonzalez
First: Roberto
DOB: 09/19/1991
County: Dekalb
Street: 4729 Buford Hwy Apt. H
City: Chamblee
State: GA

Zip

30341-

Home

(770) 216-9932

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Carmen Gonzalez	10/10/1962	Mexico
Father	Roberto Vaca	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Dresden Elem.
Grade: 3rd.
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: Y. Garcia