Pancho - GAR-PAT-97

Code: GAR-PAT-97
Mercy ID: V-00506-11
Encounter Date: 10/02/2002
Last: Garcia
First: Patricia
DOB: 07/21/1997
County: Fulton
Street: 125 Northwood Apt. 320
City: Atlanta
State: GA

Zip

30342-

Home

(404) 256-4652

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	Manuela Ocampo	06/17/1964	Mexico
Father	Eriberto Garcia	05/02/1949	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Heards Ferry Elementary
Grade: Kinder
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: K. Aleman