Pancho - GUT-JUL-97

Code: GUT-JUL-97
Mercy ID: V-02151-11
Encounter Date: 02/04/2006
Last: Gutierrez
First: Julia
DOB: 05/11/1997
County: Gwinnett
Street: 2484 Gwim Dr.
City: Norcross
State: GA

Zip

30071-

Home

(770) 734-0623

Cell

(404) 247-7770

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Amanda Gutierrez	11/13/1964	Mexico
Father	Rosendo Gutierrez	03/09/1964	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Tripli Elem.
Grade: 3rd.
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