Pancho - VIL-ALE-89

Code: VIL-ALE-89
Mercy ID: V-00436-21
Encounter Date: 07/31/2002
Last: Villa
First: Alejandro
DOB: 06/30/1989
County: Cobb
Street: 4226 Woodwin Court
City: Doraville
State: GA

Zip

30360-

Home

(770) 457-5616

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Irma Villa	10/17/1964	Mexico
Father	N/A	N/A	Mexico
Step Parent	Jose A. Bustamente	05/14/1962	Dominican Rep

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Peachtree Middle
Grade: 8th.
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: Y. Garcia
Data Entry: K. Aleman