Pancho - ALV-KEV-00

Code: ALV-KEV-00
Mercy ID: V-01787-21
Encounter Date: 01/07/2005
Last: Alvarado
First: Kevin
DOB: 12/04/2000
County: Dekalb
Street: 3242-C Chamblee Dunwoody Rd.
City: Chamblee
State: GA

Zip

30341-

Home

(770) 454-4798

Family Status

Attached youth

COB

Guatemala

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Miriam Mendez	01/12/1980	Guatemala
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
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: K. Aleman
Data Entry: K. Aleman