Pancho - GAR-YUR-95

Code: GAR-YUR-95
Mercy ID: V-02030-13
Encounter Date: 09/14/2005
Last: Garcia
First: Yuritza
DOB: 04/18/1995
County: Gwinnett
Street: 2808 Preston Lake
City: Norcross
State: GA

Zip

30084-

Home

(404) 454-5831

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	Graciela Garcia	09/21/1977	Mexico
Father	Alejandro Garcia	02/22/1974	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Nesbit 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: Volunteer
Data Entry: R. Gonzalez