Pancho - PER-LIL-91

Code: PER-LIL-91
Mercy ID: V-02150-11
Encounter Date: 02/01/2006
Last: Perez
First: Lila samantha
DOB: 01/24/1991
County: Gwinnett
Street: 7600 Springs Lane Apt A
City: Norcross
State: GA

Zip

30092-

Home

(770) 443-3565

Cell

(404) 493-4474

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Alma Lilia Perez	10/04/1972	Mexico
Father	Salvador Salinas	06/24/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Norcross High
Grade: 9th.
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