Pancho - MON-ABE-02

Code: MON-ABE-02
Mercy ID: V-02324-21
Encounter Date: 09/13/2006
Last: Monarca
First: Abel
DOB: 09/22/2002
County: Fulton
Street: 3144 Martin Luther King D-3
City: Atlanta
State: GA

Zip

30311-

Cell

(678) 608-7932

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Claudia Santos	02/18/1978	Mexico
Father	Marco Antonio Monarca	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: Head Start
Grade: N/A
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: C. Martinez
Data Entry: J. Manzo