Pancho - REY-WIL-94

Code: REY-WIL-94
Mercy ID: V-01448-21
Encounter Date: 01/07/2004
Last: Reyes
First: William
DOB: 10/23/1994
County: Gwinnett
Street: 3538 Hill Pond Dr.
City: Buford
State: GA

Zip

30519-

Home

(678) 714-5603

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maritza Reyes	06/02/1960	Perú
Father	Jorge Reyes	12/12/1955	Cuba
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Ivy Creek Elementary
Grade: 3rd.
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