Pancho - SAN-EDU-03

Code: SAN-EDU-03
Mercy ID: V-01875-21
Encounter Date: 09/19/2007
Last: Sanchez
First: Eduardo
DOB: 09/08/2003
County: Dekalb
Street: 4920 Winter Chapel Road Apt. I-1
City: Dunwoody
State: GA

Zip

30360-

Cell

(404) 551-8942

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Griselda Lopez	10/22/1969	Mexico
Father	Eduardo Sanchez	06/19/1971	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Kislers
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: Volunteer
Data Entry: J. Manzo