Pancho - QUE-ART-99

Code: QUE-ART-99
Mercy ID: V-00983-21
Encounter Date: 08/14/2002
Last: Quezada
First: Arturo
DOB: 04/20/1999
County: Gwinnett
Street: 2213 Tahoe Ct.
City: Norcross
State: GA

Zip

30071-

Home

(770) 449-7082

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Other

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Sandra Lucio	12/26/1978	Mexico
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

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: Y. Garcia
Data Entry: K. Aleman