Pancho - PAL-ALA-98

Code: PAL-ALA-98
Mercy ID: V-01546-21
Encounter Date: 10/19/2005
Last: Palma
First: Alan
DOB: 04/18/1998
County: Fulton
Street: 593 Northridge Apt. B
City: Atlanta
State: GA

Zip

30350-

Home

(770) 671-9970

Cell

(404) 936-4696

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Marina Salmeron	10/23/1974	Mexico
Father	Ernesto Palma	09/03/1973	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Dunwoody Elem
Grade: 4th.
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: Volunteer
Data Entry: R. Gonzalez