Pancho - UMA-CAR-99

Code: UMA-CAR-99
Mercy ID: V-02191-21
Encounter Date: 03/15/2006
Last: Umaña
First: Carlos ruben
DOB: 11/04/1999
County: Gwinnett
Street: 3203 Park Colony Dr
City: Norcross
State: GA

Zip

30093-

Home

(678) 698-0399

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Julie Serrano	06/09/1973	USA
Father	Carlos Umaña	11/25/1955	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Rockbridge Elem
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: R. Gonzalez
Data Entry: R. Gonzalez