Pancho - MEN-ROD-01

Code: MEN-ROD-01
Mercy ID: V-02763-21
Encounter Date: 04/30/2008
Last: Mendoza
First: Rodolfo
DOB: 10/08/2001
County: Fulton
Street: 3040 Road St.
City: East point
State: GA

Zip

30344-

Home

(404) 228-0210

Cell

(404) 463-4730

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Mireya Garcia	02/06/1977	Mexico
Father	Rodolfo Mendoza-Manzo	08/16/1972	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Oaknoll Elementary
Grade: 1st.
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. Alvarado
Data Entry: J. Manzo