Pancho - CAR-ALE-00

Code: CAR-ALE-00
Mercy ID: V-01243-21
Encounter Date: 06/11/2003
Last: Cardona
First: Alexis
DOB: 04/15/2000
County: Gwinnett
Street: 4032 Cumberland Dr.
City: Snellville
State: GA

Zip

30039-

Home

(770) 939-3144

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Sandra Villatoro	06/08/1973	El Salvador
Father	Gustavo Cardona	08/04/1971	El Salvador
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: Y. Garcia
Data Entry: K. Aleman