Pancho - ALV-EDW-96

Code: ALV-EDW-96
Mercy ID: V-01140-21
Encounter Date: 05/27/2003
Last: Alva
First: Edwin
DOB: 10/12/1996
County: Dekalb
Street: 3659 Buford Hwy B8
City: Atlanta
State: GA

Zip

30329-

Home

(404) 633-3612

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Other

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Alicia Perez	06/14/1975	Mexico
Father	Israel Alva	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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: K. Aleman
Data Entry: K. Aleman