Pancho - HIN-XAR-95

Code: HIN-XAR-95
Mercy ID: V-01561-11
Encounter Date: 04/07/2004
Last: Hincapie
First: Xarumy
DOB: 04/11/1995
County: Other
Street: 2104 Hemmingway Ln.
City: Roswell
State: GA

Zip

30075-

Home

(678) 464-6538

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Concepcion Hincapie	03/11/1973	Mexico
Father	Jorge Hincapie	02/17/1960	Colombia
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Hill Side Elementary
Grade: 3rd.
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: K. Aleman