Pancho - ALB-PED-98

Code: ALB-PED-98
Mercy ID: V-00005-22
Encounter Date: 02/16/2000
Last: Albiter
First: Pedro
DOB: 06/17/1998
County: Dekalb
Street: 130 surrey cir Apt-4
City: Chamblee
State: GA

Zip

30341-

Home

(770) 220-0461

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	guadalupe bautista	12/12/1969	Mexico
Father	pedro albiter	07/29/1965	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: father
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Manzo
Data Entry: D. Gomez