Pancho - ROD-ISS-02

Code: ROD-ISS-02
Mercy ID: V-01560-11
Encounter Date: 04/21/2004
Last: Rodas
First: Issis
DOB: 11/16/2002
County: Fulton
Street: 3787 Martin Luther King Jr.
City: Atlanta
State: GA

Zip

30311-

Home

(404) 472-3325

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	Nelsa Ozuna	05/20/1983	Mexico
Father	Roni Rodas	N/A	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: Y. Garcia
Data Entry: K. Aleman