Pancho - BEL-LES-97

Code: BEL-LES-97
Mercy ID: V-01882-12
Encounter Date: 04/20/2005
Last: Bello
First: Leslie
DOB: 02/25/1997
County: Dekalb
Street: 2287 Plaster Rd. Apt 7
City: Atlanta
State: GA

Zip

30345-

Home

(404) 399-7238

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Victoria Bello	08/21/1973	Mexico
Father	Freddy Chiche	11/09/1972	Guatemala
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Dresden Elementar
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: K. Aleman
Data Entry: K. Aleman