Pancho - APO-NEI-03

Code: APO-NEI-03
Mercy ID: V-00973-11
Encounter Date: 04/16/2003
Last: Apolinar
First: Neida
DOB: 06/25/2001
County: Clayton
Street: 415 Sylvia Apt. 8
City: Forest park
State: GA

Zip

30297-

Home

(404) 361-3212

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Angelica Vazquez	04/12/1973	Mexico
Father	Sinplicio Apolinar	01/29/1975	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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: K. Aleman
Data Entry: Y. Garcia