Pancho - BEC-PAO-02

Code: BEC-PAO-02
Mercy ID: V-01433-11
Encounter Date: 04/14/2004
Last: Becerra
First: Paola
DOB: 08/18/2002
County: Dekalb
Street: 6164 Susan Lane
City: Doraville
State: GA

Zip

30340-

Home

(770) 248-9091

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Sandra Hernandez	01/24/1977	Mexico
Father	Alvaro Becerra	02/18/1969	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: Volunteer
Data Entry: R. Miranda