Pancho - TZI-KAY-01

Code: TZI-KAY-01
Mercy ID: V-03411-11
Encounter Date: 10/13/2010
Last: Tzintzun
First: Kaylee
DOB: 03/17/2001
County: Dekalb
Street: 4203 Buford Hwy Apt. B-6
City: Atlanta
State: GA

Zip

30345-

Cell

(404) 468-2426

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Angelica Maria Casimiro	03/01/1974	Mexico
Father	Benjamin Tzintzun	05/23/1981	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Dresden Elem.
Grade: 4th.
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: Volunteer
Data Entry: J. Manzo