Pancho - GON-ALM-94

Code: GON-ALM-94
Mercy ID: V-00281-11
Encounter Date: 09/13/2000
Last: Gonzalez
First: Alma
DOB: 05/19/1994
County: Dekalb
Street: 4729 Buford Hwy Apt. h
City: Chamblee
State: GA

Zip

30341-

Home

(770) 216-9932

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Camelita Gonzalez	10/10/1962	Mexico
Father	Roberto Vaca	01/20/1965	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Dresden Elem.
Grade: 1st.
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: K. Aleman
Data Entry: Y. Garcia