Pancho - GAR-JUL-00

Code: GAR-JUL-00
Mercy ID: V-03005-11
Encounter Date: 02/18/2009
Last: Garsia
First: Julissa
DOB: 06/19/2000
County: Cobb
Street: 1456 Gleen Oaks
City: Marietta
State: GA

Zip

30008-

Cell

(678) 353-5633

Family Status

Child/Youth

COB

El Salvador

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Nelis Guardado	12/16/1983	El Salvador
Father	Roberto Garsia	N/A	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: 2nd.
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