Pancho - GON-EDG-93

Code: GON-EDG-93
Mercy ID: V-00355-21
Encounter Date: 12/06/2000
Last: Gonzalez
First: Edgar
DOB: 09/04/1993
County: Dekalb
Street: 3866 wateroak way
City: Doraville
State: GA

Zip

30340-

Home

(770) 416-1735

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	marta montes	01/26/1968	Mexico
Father	abel gonzalez	12/14/1969	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: oakcliff elem
Grade: 2nd.
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: S. Aviña