Pancho - SAN-BRI-02

Code: SAN-BRI-02
Mercy ID: V-02368-21
Encounter Date: 01/03/2007
Last: Sanchez
First: Brian
DOB: 02/18/2002
County: Dekalb
Street: 1451 Briawo Apt. 33
City: Atlanta
State: GA

Zip

30319-

Home

(678) 559-6988

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Ana Padilla	03/02/1982	Mexico
Father	Carlos Sanchez	N/A	Mexico
Step Parent	Adrian Yañez	10/15/1981	USA

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
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: Y. Garcia
Data Entry: J. Manzo