Pancho - ALV-CIN-97

Code: ALV-CIN-97
Mercy ID: V-01424-12
Encounter Date: 12/03/2003
Last: Alvarez
First: Cindy
DOB: 05/21/1997
County: Dekalb
Street: 3353 B Peachtree Corner Cr.
City: Norcross
State: GA

Zip

30092-

Cell

(770) 895-5016

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Adela Maya	06/17/1970	Mexico
Father	Simeon Alvarez	09/15/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Pickneyville Middle
Grade: 8th.
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