Pancho - SIL-YAD-05

Code: SIL-YAD-05
Mercy ID: V-02038-11
Encounter Date: 10/19/2005
Last: Silva
First: Yadira
DOB: 02/18/2005
County: Dekalb
Street: 2028 Trafalgar Way
City: Atlanta
State: GA

Zip

30341-

Home

(770) 458-8276

Cell

(404) 245-7852

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Karina Matos	03/23/1982	Perú
Father	Alex Silva	10/27/1979	Perú
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: N/A
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