Pancho - GAT-LOR-96

Code: GAT-LOR-96
Mercy ID: V-00247-11
Encounter Date: 02/10/2010
Last: Gatica
First: Lorena
DOB: 11/28/1996
County: Dekalb
Street: 2127 Vinager Walk Apt. 7
City: Atlanta
State: GA

Zip

30316-

Cell

(404) 783-6469

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	Raquel noyola	03/03/1974	Mexico
Father	Elber Gatica	04/18/1975	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Magnet Middle School
Grade: 7th.
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: J. Manzo
Data Entry: J. Manzo