Pancho - SAN-DAI-98

Code: SAN-DAI-98
Mercy ID: V-03110-11
Encounter Date: 07/08/2009
Last: Sanchez
First: Daisy
DOB: 07/21/1998
County: Dekalb
Street: 2181 Dresden Dr.
City: Atlanta
State: GA

Zip

30341-

Cell

(678) 913-4801

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Herminia Cuevas	01/13/1977	Mexico
Father	Benito Sanchez	03/21/1977	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Dekalb Path Academy
Grade: 6th.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: YES

Intake: C. Martinez
Data Entry: J. Manzo