Pancho - GAR-IRE-94

Code: GAR-IRE-94
Mercy ID: V-00523-12
Encounter Date: 10/01/2003
Last: Garcia
First: Irene
DOB: 09/02/1994
County: Gwinnett
Street: 2265 Marches Ln Rd
City: Norcross
State: GA

Zip

30000-0000

Home

(770) 248-9055

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	Maria Vivar	12/21/1963	Mexico
Father	Oscar Garcia	N/A	Guatemala
Step Parent	Mario Morales	05/20/1957	Guatemala

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Summerhour Middle
Grade: 7th.
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