Pancho - ALV-JES-02

Code: ALV-JES-02
Mercy ID: V-01580-12
Encounter Date: 07/14/2004
Last: Alvarado
First: Jessica
DOB: 08/20/2002
County: Barrow
Street: 827 George Town Dr.
City: Winders
State: GA

Zip

30680-

Home

(770) 867-5873

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Silivia Perez	08/08/2004	Guatemala
Father	Mauricio Alvarado	07/26/1969	Guatemala
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: N/A
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: Y. Garcia