Pancho - HER-AYL-96

Code: HER-AYL-96
Mercy ID: V-00155-12
Encounter Date: 03/29/2000
Last: Hernandez
First: Aylin
DOB: 03/27/1996
County: Dekalb
Street: 3569 #2 Dover Station Buford Hwy
City: Atlanta
State: GA

Zip

30329-

Home

(404) 486-9941

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Rocio Navarrete	08/18/1974	Mexico
Father	Felipe Hernandez	05/25/1974	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: K. Aleman
Data Entry: D. Gomez