Pancho - BOL-SHE-01

Code: BOL-SHE-01
Mercy ID: V-02161-11
Encounter Date: 02/15/2006
Last: Bollo ramirez
First: Sheyla annel
DOB: 02/04/2001
County: Fulton
Street: 5801 Kingsport Dr
City: Atlanta
State: GA

Zip

30342-

Home

(404) 252-8239

Cell

(678) 508-1994

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Lourdes Ramirez	09/14/1977	Mexico
Father	Gilberto Bollo	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Centro Catolico
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: R. Gonzalez
Data Entry: R. Gonzalez