Pancho - ACO-LIL-00

Code: ACO-LIL-00
Mercy ID: V-01399-11
Encounter Date: 11/05/2003
Last: Acosta
First: Liliana
DOB: 01/02/2000
County: Dekalb
Street: 3097 Colonial Way Apt F
City: Chamblee
State: GA

Zip

30341-

Home

(770) 458-5805

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Otilia Acosta	01/13/1974	Mexico
Father	Arnulfo Acosta	05/09/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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