Pancho - MAR-ANG-92

Code: MAR-ANG-92
Mercy ID: V-00403-11
Encounter Date: 02/07/2001
Last: Martinez
First: Angelina
DOB: 03/28/1992
County: Cobb
Street: 87 Gunter Apt. #3`
City: Marietta
State: GA

Zip

30060-

Home

(770) 794-6681

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Melissa Flores	04/19/1968	USA
Father	N/A	11/02/1980	Mexico
Step Parent	Gerardo Flores	N/A	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Lockheed Elementary
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