Pancho - ALV-KAR-02

Code: ALV-KAR-02
Mercy ID: V-01787-11
Encounter Date: 12/29/2004
Last: Alvarado
First: Karen
DOB: 06/24/2002
County: Gwinnett
Street: Not given
City: Chamblee
State: GA

Zip

N/A

Home

(770) 455-4898

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	Miriam Mendez	01/12/1980	Guatemala
Father	Luis Alvarado	01/16/1956	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: K. Aleman