Pancho - MAL-CAR-91

Code: MAL-CAR-91
Mercy ID: V-01705-12
Encounter Date: 09/29/2004
Last: Maldonado
First: Carmen
DOB: 03/13/1991
County: Gwinnett
Street: 981 Devon Court
City: Lilburn
State: GA

Zip

30047-

Home

(678) 380-6828

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Anabela Maldonado	11/24/1971	Guatemala
Father	Byon Maldonado	05/30/1961	Guatemala
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: 8th.
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