Pancho - VEG-EDW-87

Code: VEG-EDW-87
Mercy ID: V-01489-21
Encounter Date: 02/18/2004
Last: Vega
First: Edward
DOB: 09/27/1987
County: Gwinnett
Street: 912 Sparrows Lane
City: Norcross
State: GA

Zip

30093-

Home

(770) 939-2126

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Norma Berrocales	02/10/1959	Puerto Rico
Father	Angel Vega	N/A	Puerto Rico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Norcross High School
Grade: 10th.
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