Pancho - ORE-DIA-98

Code: ORE-DIA-98
Mercy ID: V-00455-12
Encounter Date: 04/04/2001
Last: Orellana
First: Diana
DOB: 10/11/1998
County: Cobb
Street: 410 Mcarthur Dr.
City: Marietta
State: GA

Zip

30060-

Home

(770) 428-0733

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Nora De Avila	02/01/1969	Mexico
Father	Victor Orellana	02/14/1966	Belize
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: K. Aleman
Data Entry: D. Gomez