Pancho - VAL-MON-92

Code: VAL-MON-92
Mercy ID: V-02520-11
Encounter Date: 12/12/2007
Last: Valle
First: Monica
DOB: 02/23/1992
County: Fulton
Street: 1198 Lown Lane
City: Roswell
State: GA

Zip

30076-

Cell

(678) 558-5366

Family Status

Child/Youth

COB

Mexico

Gender

Female Child

Housing

Single Family

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria Elena Valle	08/18/1973	Mexico
Father	N/A	N/A	Mexico
Step Parent	Bernanrdo Martinez	08/20/1968	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Second Chance-Roswell
Grade: 9th.
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: J. Perez
Data Entry: J. Manzo