Pancho - ITU-FER-96

Code: ITU-FER-96
Mercy ID: V-00084-12
Encounter Date: 11/30/2005
Last: Iturbe
First: Fernanda
DOB: 07/07/1996
County: Gwinnett
Street: 5917 Mary Jo Lane
City: Norcross
State: GA

Zip

30093-

Home

(678) 615-2279

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	Nancy Soriano	03/03/1978	Mexico
Father	Ivan Iturbe	06/05/1976	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Rosebridge Elem.
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: R. Gonzalez