Pancho - GAR-ANG-99

Code: GAR-ANG-99
Mercy ID: V-01410-21
Encounter Date: 02/05/2004
Last: Garcia
First: Angel
DOB: 08/08/1999
County: Gwinnett
Street: Not given
City: Not give n
State: GA

Zip

00000-0000

Home

(678) 462-9831

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Elizabeth Gutierrez	06/21/1980	Mexico
Father	Carlos Rangel	06/12/1981	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
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