Pancho - BAY-WEN-95

Code: BAY-WEN-95
Mercy ID: V-01020-11
Encounter Date: 10/23/2002
Last: Baylon
First: Wendy
DOB: 10/23/1995
County: Fulton
Street: 105 Greenhouse Parkway
City: Alpharetta
State: GA

Zip

30022-

Home

(770) 645-0838

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Yolanda Aguilar	12/28/1962	Mexico
Father	Martimiano Baylon	01/02/1963	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: 1st.
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