Pancho - SAN-ADA-97

Code: SAN-ADA-97
Mercy ID: V-00546-21
Encounter Date: 06/27/2001
Last: Sanchez
First: Adam
DOB: 08/16/1997
County: Fulton
Street: 1411 Hampton
City: Dunwoody
State: GA

Zip

30350-

Home

(770) 522-0377

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	Susana Soto	02/16/1969	Mexico
Father	Nolder Sanchez	06/09/1976	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: K. Aleman
Data Entry: K. Aleman