Pancho - BEL-CHR-95

Code: BEL-CHR-95
Mercy ID: V-00446-21
Encounter Date: 03/14/2001
Last: Beltran
First: Chritian
DOB: 10/14/1995
County: Cherokee
Street: 7545 Union Hill Rd
City: Canton
State: GA

Zip

30114-

Home

(678) 496-2796

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	melinda partick	09/17/1980	USA
Father	lorenzo beltran	N/A	Mexico
Step Parent	herculano nuñes	08/04/1969	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
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: K. Aleman
Data Entry: D. Gomez