Pancho - PRO-ALE-93

Code: PRO-ALE-93
Mercy ID: V-00949-21
Encounter Date: 06/12/2002
Last: Proa
First: Alejandro
DOB: 12/05/1993
County: Gwinnett
Street: 5182 Edgemoore Dr.
City: Norcross
State: GA

Zip

30071-

Home

(770) 446-8221

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Guadalupe Urbina	08/17/1974	Mexico
Father	Arturo Proa	02/07/1972	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Beaver Ruin Elementary
Grade: 3rd.
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