Pancho - SAN-LOR-90

Code: SAN-LOR-90
Mercy ID: V-01512-11
Encounter Date: 03/03/2004
Last: Sandes
First: Lorena
DOB: 08/13/1990
County: Gwinnett
Street: Ambers Dr. 510
City: Norcross
State: GA

Zip

30071-

Home

(770) 448-8115

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Haydee Baez	04/28/1963	Uruguay
Father	Jorge Sandes	11/18/1964	Uruguay
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: 8th.
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