Pancho - ABA-FRA-96

Code: ABA-FRA-96
Mercy ID: V-01951-11
Encounter Date: 07/27/2005
Last: Aguilera
First: Viviana
DOB: 04/14/1996
County: Dekalb
Street: 3080 Mableton Power Lot 31
City: Mableton
State: GA

Zip

30216-

Home

(770) 948-5634

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	Bertha Abarca	12/25/1958	Mexico
Father	N/A	N/A	N/A
Step Parent	Enrique Cruz	07/16/1967	Mexico

Driver: YES
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Riverside Elementary
Grade: 4th.
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