Pancho - GAR-ISA-01

Code: GAR-ISA-01
Mercy ID: V-00997-21
Encounter Date: 09/04/2002
Last: Garcia
First: Isaac
DOB: 11/21/2001
County: Dekalb
Street: 2400 Beverly Hills Apt. 4
City: Chamblee
State: GA

Zip

30041-

Home

(678) 547-0750

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Lopez	01/03/1968	Mexico
Father	Luis Garcia	08/28/1959	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