Pancho - MEN-SAN-01

Code: MEN-SAN-01
Mercy ID: V-02140-11
Encounter Date: 01/18/2006
Last: Menacho
First: Sandra
DOB: 03/20/2001
County: Gwinnett
Street: 5477 Riverside Dr
City: Sugarhill
State: GA

Zip

30518-

Home

(770) 831-8089

Family Status

Attached youth

COB

Perú

Gender

Female Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Elizabeth Sutherland	05/14/1966	Perú
Father	Rafael Menacho	06/30/1969	Perú
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Kids N Kids
Grade: Pre-K
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