Pancho - LIB-ARI-89

Code: LIB-ARI-89
Mercy ID: V-00071-21
Encounter Date: 07/07/1999
Last: Libiano
First: Ariel
DOB: 03/08/1989
County: Dekalb
Street: 3354 Burk Drive Apt. 49
City: Chamblee
State: GA

Zip

30341-

Home

(770) 458-6379

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Transitional

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Elvira Gonzalez	06/25/1961	Mexico
Father	Francisco Gonzalez	12/30/1969	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Cory Reynolds
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: J. Manzo
Data Entry: Y. Garcia