Pancho - MAY-ANT-00

Code: MAY-ANT-00
Mercy ID: V-02434-21
Encounter Date: 03/12/2007
Last: Maya
First: Anthony
DOB: 02/15/2001
County: Fulton
Street: 1021 Garden Ridge
City: Alpharetta
State: GA

Zip

30009-

Cell

(678) 791-9333

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Sara Garcia	03/10/1979	Mexico
Father	Antonio Maya	07/04/2025	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Hendridge Elem.
Grade: 2nd.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Perez
Data Entry: J. Manzo