Pancho - FLO-LUI-98

Code: FLO-LUI-98
Mercy ID: V-00329-23
Encounter Date: 11/01/2000
Last: Flores
First: Luis
DOB: 04/30/1998
County: Dekalb
Street: 3204 H Chamblee Dunwoody Rd.
City: Atlanta
State: GA

Zip

30341-

Home

(770) 451-6824

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Leticia ilda Zuñiga	09/30/1968	Mexico
Father	Benito Flores	03/21/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: N/A
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: J. Manzo
Data Entry: K. Aleman