Pancho - RIV-ISR-95

Code: RIV-ISR-95
Mercy ID: V-02167-21
Encounter Date: 02/15/2006
Last: Rivera
First: Israel
DOB: 10/22/1995
County: Fulton
Street: 5801 Kingsporo Dr
City: Atlanta
State: GA

Zip

30341-

Home

(404) 252-8239

Cell

(678) 768-2578

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Francisca Ramirez	12/22/1972	Mexico
Father	Abel Rivera	07/30/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Huntsferry Elem
Grade: 4th.
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