Pancho - SAN-MAR-98

Code: SAN-MAR-98
Mercy ID: V-00972-11
Encounter Date: 09/25/2002
Last: Sanchez
First: Marili
DOB: 04/13/1998
County: Gwinnett
Street: 4877 Royal Dr.
City: Duluth
State: GA

Zip

30096-

Home

(770) 662-3075

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Gerbacio	02/07/1977	Mexico
Father	Clisenio Sanchez	04/26/1973	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Rayito del sol
Grade: Pre-K
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