Pancho - CHQ-ANG-89

Code: CHQ-ANG-89
Mercy ID: V-01180-11
Encounter Date: 04/02/2003
Last: Chiquiza
First: Angela
DOB: 04/16/1989
County: Gwinnett
Street: 3100 Sweet Water Rd. Apt. 1611
City: Lawrenceville
State: GA

Zip

30044-

Home

(678) 380-4294

Family Status

Attached youth

COB

Colombia

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Martha Sierra	12/06/1954	Colombia
Father	Luis Chquiza	N/A	Colombia
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Sweetwater Middle
Grade: 8th.
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