Pancho - ZAM-MAL-92

Code: ZAM-MAL-92
Mercy ID: V-00923-11
Encounter Date: 05/22/2002
Last: Zamorategui
First: Malinaly
DOB: 07/31/1992
County: Gwinnett
Street: 1351 King Ridge Rd.
City: Norcross
State: GA

Zip

30098-

Home

(678) 380-5138

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Dulce Maria Zamorategui	09/27/1970	Mexico
Father	N/A	N/A	Mexico
Step Parent	Julio Monsalva	04/16/1972	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Meadow Creek
Grade: 4th.
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