Pancho - OLV-ROD-95

Code: OLV-ROD-95
Mercy ID: V-00264-21
Encounter Date: 08/16/2000
Last: Olvera
First: Rodrigo
DOB: 10/21/1995
County: Gwinnett
Street: beaver ruin #161 dunleaf apt
City: Norcross
State: GA

Zip

30093-

Home

(770) 921-9454

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Transitional

Education Level

Preschool

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	rocio tavera	10/11/1979	Mexico
Father	cristian olvera	09/19/1977	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: N/A
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: S. Aviña