Pancho - ROD-ARE-94

Code: ROD-ARE-94
Mercy ID: V-01163-12
Encounter Date: 03/26/2003
Last: Rodriguez
First: Arely
DOB: 09/28/1994
County: Fulton
Street: 160 Tedwell
City: Alpharetta
State: GA

Zip

30004-

Home

(000) 000-0000

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Juana Garcia	01/30/1959	Mexico
Father	Candelario Rodriguez	N/A	Mexico
Step Parent	Jesus Rodriguez	10/20/1960	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: N/A
Grade: 3rd.
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