Pancho - ROD-MEL-99

Code: ROD-MEL-99
Mercy ID: V-01197-11
Encounter Date: 04/30/2003
Last: Rodriguez
First: Melina
DOB: 05/11/1999
County: Dekalb
Street: 4821 Winter Chapel Rd.
City: Atlanta
State: GA

Zip

30360-

Home

(678) 421-9404

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	Elena Rodriguez	09/15/1969	Mexico
Father	Rafael Popoca	02/07/1978	Mexico
Step Parent	N/A	N/A	N/A

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