Pancho - MAT-GAB-96

Code: MAT-GAB-96
Mercy ID: V-02365-12
Encounter Date: 12/13/2006
Last: Matos
First: Gabriela
DOB: 05/11/1996
County: Gwinnett
Street: 1022 Livil Creek
City: Sugar hill
State: GA

Zip

30158-

Home

(770) 831-1560

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Patricia Rojo	05/20/1963	Mexico
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Sugar Hill Elementary
Grade: 5th.
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: Y. Garcia
Data Entry: J. Manzo