Pancho - SAL-GER-90

Code: SAL-GER-90
Mercy ID: V-00871-21
Encounter Date: 03/20/2002
Last: Saldaña
First: Gerardo
DOB: 10/11/1989
County: Dekalb
Street: 2903 Alcoa Ct.
City: Chamblee
State: GA

Zip

30341-

Home

(678) 530-2075

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Reyna Pereyra	04/24/1971	Mexico
Father	N/A	N/A	Mexico
Step Parent	Gustavo Arce	01/22/1965	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Sequohah Middle School
Grade: 6th.
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