Pancho - ANG-ALV-94

Code: ANG-ALV-94
Mercy ID: V-00162-23
Encounter Date: 04/05/2000
Last: Angel
First: Alvaro
DOB: 09/30/1994
County: Gwinnett
Street: 1015 chase common dr
City: Norcross
State: GA

Zip

30071-

Home

(770) 825-0155

Family Status

Attached youth

COB

El Salvador

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	norma aguilar	10/04/1971	El Salvador
Father	cipriano angel	09/30/1960	Guatemala
Step Parent	juan garcia	12/27/1975	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
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: S. Aviña