Pancho - VEL-WIL-97

Code: VEL-WIL-97
Mercy ID: V-00604-23
Encounter Date: 06/02/2004
Last: Velazquez
First: Wilmer
DOB: 01/16/1997
County: Gwinnett
Street: 5858 Williams Rd.
City: Norcross
State: GA

Zip

30093-

Home

(770) 638-7873

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Dilcia Torres	06/02/1972	Honduras
Father	Elmer Velazquez	05/09/1971	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Lilburn Elementary
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: Y. Garcia
Data Entry: K. Aleman