Pancho - CAS-BLA-90

Code: CAS-BLA-90
Mercy ID: V-02014-11
Encounter Date: 04/26/2006
Last: Castillo
First: Blanca
DOB: 10/17/1990
County: Dekalb
Street: 3612 Morning Size Vella
City: Doraville
State: GA

Zip

30340-

Home

(678) 458-1909

Cell

(678) 508-9897

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Blanca Castillo	08/14/1972	Mexico
Father	Fernando Salazar	08/12/1973	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Lakeside High School
Grade: 9th.
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: Volunteer
Data Entry: R. Gonzalez