Pancho - AGU-DAN-94

Code: AGU-DAN-94
Mercy ID: V-02449-21
Encounter Date: 03/14/2007
Last: Aguilera
First: Daniel
DOB: 01/10/1994
County: Dekalb
Street: 2217 Dresden Villa # 5
City: Atlanta
State: GA

Zip

30341-

Cell

(678) 437-2485

Family Status

Child/Youth

COB

Mexico

Gender

Male Child

Housing

Single Family

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Margarita Tadeo	03/25/1968	Mexico
Father	Enrique Aguilera	09/11/1969	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Cross Keys HS
Grade: 10th.
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: C. Martinez
Data Entry: J. Manzo