Pancho - SAN-PAB-99

Code: SAN-PAB-99
Mercy ID: V-00623-21
Encounter Date: 10/03/2001
Last: Sanchez
First: Pablo
DOB: 06/02/1999
County: Cobb
Street: 9401 Roberts Dr. 23B
City: Atlanta
State: GA

Zip

30350-

Home

(770) 804-3303

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Irma Sanchez	03/02/1978	Mexico
Father	N/A	N/A	Mexico
Step Parent	Ruben Delej	07/26/1975	Ecuador

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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