Pancho - BER-SOF-98

Code: BER-SOF-98
Mercy ID: V-00053-14
Encounter Date: 01/03/2000
Last: Bertalioni
First: Sofia
DOB: 12/10/1998
County: Not given
Street: 105 etheretge rd
City: Temple
State: GA

Zip

30179-

Home

(770) 562-9297

Family Status

Attached youth

COB

Costa Rica

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	maria quiros	04/30/1965	Costa Rica
Father	rafael bertalioni	10/26/1951	Costa Rica
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: rafael bertalioni dad
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Manzo
Data Entry: D. Gomez