Pancho - GON-MAR-91

Code: GON-MAR-91
Mercy ID: V-00481-11
Encounter Date: 06/25/2001
Last: Gonzalez
First: Martha
DOB: 10/06/1991
County: Dekalb
Street: 2628 Boland Dr.
City: Atlanta
State: GA

Zip

30319-

Home

(404) 636-4698

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Guadalupe Canedo	06/27/1958	Mexico
Father	Jose Manuel Gonzalez	06/13/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Montclair Elementary
Grade: 5th.
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: K. Aleman