Pancho - PAC-ANA-99

Code: PAC-ANA-99
Mercy ID: V-02041-11
Encounter Date: 09/21/2005
Last: Pacheco
First: Anahi
DOB: 06/07/1999
County: Gwinnett
Street: 4072 John St.
City: Lilburn
State: GA

Zip

30047-

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	Christina Pacheco	07/05/1973	Mexico
Father	Raul Pacheco	04/29/1969	Mexico
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: F. Gomez
Data Entry: R. Gonzalez