Pancho - LEP-KAR-02

Code: LEP-KAR-02
Mercy ID: V-02779-12
Encounter Date: 05/14/2008
Last: Lepe
First: Karina
DOB: 09/28/2002
County: Gwinnett
Street: 3205 Sunrise Village Apt. F
City: Norcross
State: GA

Zip

30093-

Cell

(678) 334-6886

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Erika Meza	04/02/1977	USA
Father	Rene Lepe	03/20/1978	USA
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: sunshine house
Grade: Pre-K
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