Pancho - CAS-ERI-99

Code: CAS-ERI-99
Mercy ID: V-01690-21
Encounter Date: 09/15/2004
Last: Casique
First: Erik
DOB: 12/12/1999
County: Gwinnett
Street: 100 Castor Dr. Apt N#4
City: Norcross
State: GA

Zip

30071-

Home

(404) 379-8997

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Ester Casique	03/09/1979	Mexico
Father	Alejandro Casique	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