Pancho - GAR-LUC-93

Code: GAR-LUC-93
Mercy ID: V-02555-11
Encounter Date: 08/15/2007
Last: Garza
First: Lucelly
DOB: 08/11/1993
County: Cobb
Street: 5220 South Cobb Dr. Apt. 3-B
City: Smyrna
State: GA

Zip

30080-

Cell

(678) 949-8500

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Lucelly Martinez	01/15/1974	Mexico
Father	Ramon Garza	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Kembore M.S.
Grade: 7th.
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: C. Martinez
Data Entry: J. Manzo