Pancho - GUT-ZUL-92

Code: GUT-ZUL-92
Mercy ID: V-01237-11
Encounter Date: 04/04/2007
Last: Gutierrez
First: Zuleyma
DOB: 08/07/1992
County: Fulton
Street: 645 Casanova St.
City: Atlanta
State: GA

Zip

30312-

Home

(404) 627-6448

Cell

(678) 754-1869

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Francisca Morales	10/04/1970	Mexico
Father	Joel Gutierrez Ramirez	06/27/1973	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Caver HS
Grade: 11th.
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: Volunteer
Data Entry: J. Manzo