Pancho - OLI-REN-96

Code: OLI-REN-96
Mercy ID: V-01463-21
Encounter Date: 02/11/2004
Last: Olivares
First: Rene
DOB: 02/17/1996
County: Fulton
Street: 201 Northwood Dr. R6
City: Atlanta
State: GA

Zip

30342-

Home

(404) 851-0998

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Isabel Blanco	05/22/1972	Mexico
Father	Jesus Olivares	05/02/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Heards Ferry E
Grade: 1st.
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