Pancho - CAU-ROS-86

Code: CAU-ROS-86
Mercy ID: V-00039-12
Encounter Date: 12/08/1998
Last: Campuzano
First: Rosalinda
DOB: 08/05/1986
County: Fulton
Street: 1190 Lowe Lane
City: Roswell
State: GA

Zip

30076-

Home

(770) 518-6936

Family Status

Child/Youth

COB

Mexico

Gender

Female Child

Housing

Single Family

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Rosa Taboada	01/04/1968	Mexico
Father	Patricio Campuzano	03/17/1963	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Heinsbridge Middle
Grade: 7th.
Who Can't Pickup the Child: SOLO LA PUEDE RECOGER LA MAMA
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Manzo
Data Entry: J. Manzo