Pancho - GON-LAU-93

Code: GON-LAU-93
Mercy ID: V-01466-11
Encounter Date: 01/14/2004
Last: Gonzalez
First: Laura
DOB: 08/24/1993
County: Dekalb
Street: 3603 Medeawoglenn Village Lane
City: Doraville
State: GA

Zip

30340-

Home

(678) 437-0614

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Beatriz Hernandez	03/10/1973	Mexico
Father	Raul Gonzalez	08/07/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Pleasentdale Elementary 3rd
Grade: 3rd.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: Y. Garcia
Data Entry: K. Aleman