Pancho - CIA-ERO-02

Code: CIA-ERO-02
Mercy ID: V-01582-22
Encounter Date: 04/28/2004
Last: Cianelli
First: Eros
DOB: 08/22/2002
County: Gwinnett
Street: 7084 Chapell Circle
City: Doraville
State: GA

Zip

30360-

Cell

(770) 374-3262

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Mariela Fernandez	12/30/1968	Uruguay
Father	Aldo Cianelli	04/10/1970	Uruguay
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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: K. Aleman