Pancho - GON-ALO-01

Code: GON-ALO-01
Mercy ID: V-02821-21
Encounter Date: 06/25/2008
Last: Gonzalez
First: Alonzo
DOB: 07/24/2001
County: Cobb
Street: 3289 Lancer Dr.
City: Power springs
State: GA

Zip

30127-

Cell

(770) 349-9945

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Single Family

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria Elena Nuñez	12/29/1981	Mexico
Father	Armando Gonzalez	07/13/1972	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Campton Elem
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: F. Gomez
Data Entry: J. Manzo