Pancho - MAR-ALE-94

Code: MAR-ALE-94
Mercy ID: V-00026-21
Encounter Date: 01/05/2000
Last: Martinez
First: Alexandro
DOB: 04/07/1994
County: Cobb
Street: 3014 Estuary Road
City: Acworth
State: GA

Zip

30301-

Cell

(205) 213-0001

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria A. Martinez	03/18/1972	Mexico
Father	Jose V. Martinez	04/24/1968	Mexico
Step Parent	Jose Luis Cienfuegos	08/25/1971	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: North Cobb High
Grade: 10th.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Manzo
Data Entry: Y. Garcia