Pancho - VIL-DEN-99

Code: VIL-DEN-99
Mercy ID: V-03353-21
Encounter Date: 08/18/2010
Last: Villanueva
First: Denilson
DOB: 10/08/1999
County: Fulton
Street: 2431 Morosco Way Apr. E
City: Atlanta
State: GA

Zip

30324-

Cell

(404) 370-2137

Family Status

Child/Youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Selene Ignacio	12/23/1979	Mexico
Father	Alfredo Hernandez	05/03/1980	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Garden Hills Elem
Grade: 5th.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: C. Martinez
Data Entry: J. Manzo