Pancho - FER-DAN-86

Code: FER-DAN-86
Mercy ID: V-00451-41
Encounter Date: 04/04/2001
Last: Fernandez
First: Daniel
DOB: 03/22/1986
County: Fulton
Street: 1339 apt - b gran crique dr
City: Roswell
State: GA

Zip

30076-

Home

(770) 642-5575

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	agustina fernandez	N/A	Mexico
Father	onecimo fernandez	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: hocomb middle
Grade: 6th.
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