Pancho - CAS-YES-01

Code: CAS-YES-01
Mercy ID: V-02913-12
Encounter Date: 10/15/2008
Last: Castro
First: Yesenia
DOB: 04/27/2001
County: Fulton
Street: 7829 Midway Road
City: Alpharetta
State: GA

Zip

30004-

Home

(678) 947-1660

Cell

(770) 560-2048

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maura Garcia	07/13/1976	Mexico
Father	Vicente Castro	04/19/1974	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Freehome Elem.
Grade: 3rd.
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