Pancho - ALM-ANG-03

Code: ALM-ANG-03
Mercy ID: V-03109-21
Encounter Date: 07/01/2009
Last: Almaraz
First: Angel
DOB: 09/19/2003
County: Gwinnett
Street: 675 Dunlin Farms Ct.
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 666-3332

Family Status

Child/Youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Esperanza Moreno	09/13/1985	Mexico
Father	Jose Almaraz	02/23/1973	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Pope Valley 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