Pancho - ARR-DON-90

Code: ARR-DON-90
Mercy ID: V-01117-11
Encounter Date: 04/09/2003
Last: Arriaga
First: Donna
DOB: 03/08/1990
County: Cobb
Street: 750 Six Flags Rd. Lot 450
City: Austell
State: GA

Zip

30168-

Home

(770) 745-1864

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	Lorena Estrada	12/27/1968	Guatemala
Father	Mauricio Arriaga	N/A	Guatemala
Step Parent	Julio Rivera	12/27/1969	Guatemala

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Lindly 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