Pancho - COL-JOE-06

Code: COL-JOE-06
Mercy ID: V-02707-11
Encounter Date: 08/20/2008
Last: Colon
First: Joelle
DOB: 05/03/2006
County: Fulton
Street: 2152 Woodberry Ave.
City: Atlanta
State: GA

Zip

30344-

Cell

(404) 516-6290

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Rosa maria Colon	05/25/1972	Bolivia
Father	Joseph Colon	03/02/1983	USA
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Sheltering Arms
Grade: Pre-K
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: F. Gomez
Data Entry: J. Manzo