Pancho - PIN-ANS-01

Code: PIN-ANS-01
Mercy ID: V-02134-11
Encounter Date: 01/18/2006
Last: Pineda
First: Anselma
DOB: 06/13/2001
County: Dekalb
Street: 1451 Briarwood Rd #33
City: Atlanta
State: GA

Zip

30319-

Cell

(404) 201-4229

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Yesica Pineda	02/21/1977	Honduras
Father	Raul Jesus Rosas	08/31/1966	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Brookhaven Christian Child Dev
Grade: Kinder
Who Can't Pickup the Child: father
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