Pancho - FEL-KEY-98

Code: FEL-KEY-98
Mercy ID: V-02196-11
Encounter Date: 03/22/2006
Last: Feliz
First: Keyla
DOB: 06/27/1998
County: Cobb
Street: 2550 Akers Mill Rd
City: Atlanta
State: GA

Zip

30329-

Home

(770) 618-2898

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	Beatriz Ortiz	02/25/1975	Dominican Rep
Father	Kelvin Feliz	05/20/1974	Dominican Rep
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Brumby Elem
Grade: 2nd.
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