Pancho - TOR-ANG-05

Code: TOR-ANG-05
Mercy ID: V-02487-11
Encounter Date: 05/31/2007
Last: Torres
First: Angelina
DOB: 08/23/2005
County: Gwinnett
Street: 3350 Sweetwater Rd. #610
City: Lawrenceville
State: GA

Zip

30044-

Cell

(678) 949-6067

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Cynthia Torres	04/02/1987	Puerto Rico
Father	Edgar Figueroa	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: 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: G. Landeros
Data Entry: J. Manzo