Pancho - VEG-LIS-95

Code: VEG-LIS-95
Mercy ID: V-01202-11
Encounter Date: 04/30/2003
Last: Vega
First: Lissete
DOB: 08/10/1995
County: Dekalb
Street: 3556 Meadowglen Village Lane #E
City: Doraville
State: GA

Zip

30340-

Home

(770) 939-3042

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Guadalupe Olvera	01/28/1973	Mexico
Father	Jose Raul Vega	11/05/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Pleasandale Elementary
Grade: 2nd.
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