Pancho - CAR-PAB-95

Code: CAR-PAB-95
Mercy ID: V-01078-22
Encounter Date: 01/15/2003
Last: Carranza
First: Pablo
DOB: 09/11/1995
County: Fulton
Street: 4558 Roswell Rd. Apt. E4
City: Atlanta
State: GA

Zip

30342-

Home

(404) 943-9327

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Carmen Villenza	03/07/1974	Mexico
Father	Pablo Carranza	04/28/1975	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: High Point Elementary
Grade: 1st.
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