Pancho - CEB-MEL-91

Code: CEB-MEL-91
Mercy ID: V-00555-11
Encounter Date: 03/19/2003
Last: Ceballos
First: Melissa
DOB: 05/09/1991
County: Dekalb
Street: 4634 Pigeon Island Dr.
City: Decatur
State: GA

Zip

30035-

Home

(770) 593-2495

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Melida Llanos-Ceballos	09/12/1958	Colombia
Father	Hoover Ceballos	10/01/1953	Colombia
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Mary Bethane
Grade: 6th.
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