Pancho - LUV-ANG-02

Code: LUV-ANG-02
Mercy ID: V-02957-22
Encounter Date: 12/17/2008
Last: Luviano
First: Angelo
DOB: 10/11/2002
County: Dekalb
Street: 3160 Buford Hwy. Apt. B-19
City: Atlanta
State: GA

Zip

30329-

Cell

(678) 760-7365

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Single Family

Education Level

Preschool

Home Owner

YES

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: wooldworth 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: C. Martinez
Data Entry: J. Manzo