Pancho - SAN-ROB-91

Code: SAN-ROB-91
Mercy ID: V-01956-22
Encounter Date: 08/17/2005
Last: Santana
First: Roberto
DOB: 10/02/1991
County: Gwinnett
Street: 1616 Lia Hills Dr.
City: Norcross
State: GA

Zip

30071-

Home

(678) 663-0710

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Rachael Lopez	N/A	Mexico
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
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: Volunteer
Data Entry: K. Aleman