Pancho - CAN-DAR-98

Code: CAN-DAR-98
Mercy ID: V-01755-21
Encounter Date: 11/17/2004
Last: Cano
First: Dariel
DOB: 05/21/1998
County: Gwinnett
Street: 1391 Redington Lane
City: Norcross
State: GA

Zip

30093-

Home

(678) 380-0400

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Elvira Cano	02/04/1978	Mexico
Father	Hector Guajardo	12/22/1977	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Meadow Creek
Grade: 1st.
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: K. Aleman
Data Entry: K. Aleman