Pancho - FUN-ROX-92

Code: FUN-ROX-92
Mercy ID: V-00362-11
Encounter Date: 12/18/2000
Last: Funez
First: Roxana
DOB: 07/10/1992
County: Cobb
Street: 1260 South Cobb Dr. L-51
City: Marietta
State: GA

Zip

30060-

Cell

(678) 663-3321

Family Status

Child/Youth

COB

Mexico

Gender

Female Child

Housing

Single Family

Education Level

H.S. equivalency diploma

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	silvia tarango	05/19/1970	Mexico
Father	manuel tarango	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: woodward elem.
Grade: 3rd.
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: K. Aleman