Pancho - OLI-ANG-91

Code: OLI-ANG-91
Mercy ID: V-00640-11
Encounter Date: 05/14/2002
Last: Olivares
First: Angelica
DOB: 04/01/1991
County: Gwinnett
Street: 1258 McPherson Lane #A
City: Norcross
State: GA

Zip

30093-

Home

(678) 580-5350

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Alejandra Delgado	05/03/1968	Mexico
Father	Samuel Olivares	08/20/1969	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: 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