Pancho - GUE-KAY-01

Code: GUE-KAY-01
Mercy ID: V-02293-11
Encounter Date: 08/09/2006
Last: Guevara
First: Kaylin
DOB: 06/17/2001
County: Gwinnett
Street: 802 Stoneview
City: Lilburn
State: GA

Zip

30047-

Home

(770) 806-4123

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	Yesenia Hernandez	10/10/1976	El Salvador
Father	Henry Guevara	08/22/1973	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Hopkins Elementary
Grade: Kinder
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: Y. Garcia
Data Entry: J. Manzo