Pancho - GUE-BRE-00

Code: GUE-BRE-00
Mercy ID: V-03302-11
Encounter Date: 08/18/2010
Last: Guerra
First: Brenaly
DOB: 06/20/2000
County: Fulton
Street: 2788 Defoors Ferry Dr. Apt. 53
City: Atlanta
State: GA

Zip

30318-

Cell

(404) 694-8937

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Jesus Guerra	01/03/1965	Guatemala
Father	Raquel Guerra	09/13/1959	Guatemala
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Bolton Academy
Grade: 5th.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: C. Martinez
Data Entry: J. Manzo