Pancho - VIL-ART-04

Code: VIL-ART-04
Mercy ID: V-00453-22
Encounter Date: 12/08/2004
Last: Villera
First: Arturo
DOB: 06/25/2004
County: Dekalb
Street: 3578-1 Buford Hwy NE
City: Atlanta
State: GA

Zip

30329-

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Laura Piñon	04/14/1972	Mexico
Father	Arturo Villera	09/01/1976	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: Y. Garcia
Data Entry: K. Aleman