Pancho - LOP-MAR-97

Code: LOP-MAR-97
Mercy ID: V-01826-11
Encounter Date: 07/13/2005
Last: Lopez
First: Maria
DOB: 09/07/1997
County: Gwinnett
Street: 3350 Sweetwater Rd. Apt 1127
City: Lawrenceville
State: GA

Zip

30044-

Home

(678) 622-7263

Family Status

Attached youth

COB

Colombia

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Gloria Patricia Restrepo	11/06/1973	Colombia
Father	Jose Lopez	08/22/1972	Colombia
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Corleey Elementary
Grade: 2nd.
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