Pancho - FLO-EDG-95

Code: FLO-EDG-95
Mercy ID: V-00837-22
Encounter Date: 03/20/2002
Last: Flores
First: Edgar
DOB: 05/18/1995
County: Cobb
Street: 486 Ramona St.
City: Marietta
State: GA

Zip

30060-

Home

(678) 354-3327

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	M.de los Angeles Arellano	11/02/1967	Mexico
Father	Ruben Flores	05/09/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Lockhead Elementary
Grade: 1st.
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