Pancho - CER-RAL-98

Code: CER-RAL-98
Mercy ID: V-01753-21
Encounter Date: 02/02/2005
Last: Cervantes
First: Ralph
DOB: 12/28/1998
County: Gwinnett
Street: 5151 B Williams Rd .
City: Norcross
State: GA

Zip

30093-

Home

(770) 925-0577

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria de Jesus Gonzalez	N/A	Mexico
Father	N/A	N/A	Mexico
Step Parent	Mauricio Guerrero	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Meadow Creek Elementary
Grade: Kinder
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