Pancho - GUT-ALF-99

Code: GUT-ALF-99
Mercy ID: V-02435-22
Encounter Date: 04/18/2007
Last: Gutierrez
First: Alfredo
DOB: 07/29/1999
County: Dekalb
Street: 3160 Buford Hwy I-2
City: Atlanta
State: GA

Zip

30329-

Home

(678) 858-0730

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Celia Herrera	01/20/1968	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: N/A
Grade: 1st.
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: Volunteer
Data Entry: J. Manzo