Pancho - GAB-MAR-02

Code: GAB-MAR-02
Mercy ID: V-00799-13
Encounter Date: 10/27/2004
Last: Gabriel
First: Maritza
DOB: 10/28/2002
County: Dekalb
Street: 2483 Skyland Dr. Apt A
City: Atlanta
State: GA

Zip

30319-

Home

(404) 634-8914

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria E. Gabriel	09/07/1974	Mexico
Father	Jesus Gabriel	02/05/1974	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: N/A
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