Pancho - DEL-KAT-94

Code: DEL-KAT-94
Mercy ID: V-00794-11
Encounter Date: 01/09/2002
Last: Del rosario
First: Katherine
DOB: 09/09/1994
County: Gwinnett
Street: 1355 Graves Rd. Apt. X-3
City: Norcross
State: GA

Zip

30093-

Home

(770) 934-1026

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria del Rosario	02/24/1969	Dominican Rep
Father	N/A	N/A	Dominican Rep
Step Parent	Franklin Diaz	12/28/1974	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Nesbit 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