Pancho - GAT-ELB-99

Code: GAT-ELB-99
Mercy ID: V-00247-21
Encounter Date: 02/10/2010
Last: Gatica
First: Elber
DOB: 02/06/1999
County: Dekalb
Street: 2127 Vinager Walk
City: Atlanta
State: GA

Zip

30316-

Cell

(404) 783-6469

Family Status

Child/Youth

COB

USA

Gender

Male 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: Ronald Mag. Learning Disc. Aca
Grade: 5th.
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