Pancho - GON-GRI-02

Code: GON-GRI-02
Mercy ID: V-02833-13
Encounter Date: 08/13/2008
Last: Gonzalez
First: Griselda
DOB: 03/02/2002
County: Gwinnett
Street: 2874 Wilderflower Lane
City: Snellville
State: GA

Zip

30039-

Cell

(678) 499-9670

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Constantina Elorza	03/11/1973	Mexico
Father	Eusebio Gonzalez	06/27/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Certerville Elem
Grade: Kinder
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