Pancho - YEP-MAR-92

Code: YEP-MAR-92
Mercy ID: V-01242-11
Encounter Date: 10/01/2003
Last: Yepez
First: Maritza
DOB: 12/28/1992
County: Gwinnett
Street: 6750 Peachtree Industrial 806
City: Doraville
State: GA

Zip

30360-

Home

(770) 441-0441

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Laura Olvera	07/04/1974	Mexico
Father	Francisco Yepez	10/09/1967	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: High Tower Elementary
Grade: 5th.
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