Pancho - SAL-MAR-96

Code: SAL-MAR-96
Mercy ID: V-01471-11
Encounter Date: 02/11/2004
Last: Salazar
First: Maria
DOB: 02/26/1996
County: Gwinnett
Street: #8 Jennifer Dr.
City: Lilburn
State: GA

Zip

30047-

Home

(770) 557-0842

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Sandra Murillo	07/25/1976	Mexico
Father	Luis O. Salazar	09/14/1976	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Lilburn Elementary
Grade: 2nd.
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