Pancho - NAV-ANH-07

Code: NAV-ANH-07
Mercy ID: V-02903-22
Encounter Date: 01/21/2009
Last: Navarrete
First: Anthony
DOB: 12/29/2007
County: Fulton
Street: 2225 Lenox Rd. Apt. 4
City: Atlanta
State: GA

Zip

30324-

Cell

(404) 791-8221

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Single Family

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Modesta Reyes	11/04/1977	Mexico
Father	Edgar Navarrete	11/16/1975	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: N/A
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: J. Perez
Data Entry: J. Manzo