Pancho - OLV-MEL-01

Code: OLV-MEL-01
Mercy ID: V-00856-12
Encounter Date: 03/06/2002
Last: Olvera
First: Melany
DOB: 01/25/2001
County: Gwinnett
Street: 5625 Wylake Dr.
City: Norcross
State: GA

Zip

30093-

Home

(770) 564-9370

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maricela Luviano	03/06/1969	Mexico
Father	Timoteo Olvera	05/05/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: N/A
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