Pancho - MAC-ALE-02

Code: MAC-ALE-02
Mercy ID: V-01090-41
Encounter Date: 01/21/2003
Last: Macias
First: Alexander
DOB: 11/26/2002
County: Fulton
Street: 2942 Delowe Dr.
City: East point
State: GA

Zip

30344-

Home

(404) 559-8508

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Angeles Macias	N/A	Mexico
Father	Gerardo Hermocillo	N/A	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: K. Aleman