Pancho - LUV-IRV-96

Code: LUV-IRV-96
Mercy ID: V-02957-21
Encounter Date: 01/14/2009
Last: Luviano
First: Irving
DOB: 04/17/1996
County: Dekalb
Street: 3160 Buford Hwy Apt. B-19
City: Atlanta
State: GA

Zip

30329-

Cell

(678) 760-7365

Family Status

Child/Youth

COB

Mexico

Gender

Male Child

Housing

Single Family

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Araceli Ayala	11/20/1975	Mexico
Father	Jorge Luis Luviano	02/20/1971	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Sequaya Middle
Grade: 7th.
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