Pancho - FRA-KAR-99

Code: FRA-KAR-99
Mercy ID: V-00062-12
Encounter Date: 08/01/2001
Last: Fraire
First: Karen
DOB: 03/16/1999
County: Cobb
Street: 271 Grover St.
City: Marietta
State: GA

Zip

30060-

Home

(770) 419-7597

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	Norma Rendon	06/23/1975	Mexico
Father	Blas Fraire	02/03/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: K. Aleman
Data Entry: K. Aleman