Pancho - PAL-JUL-93

Code: PAL-JUL-93
Mercy ID: V-00736-11
Encounter Date: 11/28/2001
Last: Palacios
First: Julieta
DOB: 08/22/1993
County: Gwinnett
Street: 6987 Magnolia Parkway dr.
City: Norcross
State: GA

Zip

30093-

Home

(770) 938-2294

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Blanca E. Ortiz	03/22/1973	Mexico
Father	Demetrio Palacios	12/22/1969	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Hopkins Elementary
Grade: 2nd.
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