Pancho - COR-LIZ-96

Code: COR-LIZ-96
Mercy ID: V-01633-11
Encounter Date: 06/16/2004
Last: Cornejo
First: Lizbella
DOB: 09/22/1996
County: Other
Street: 295 Foller Rd.
City: Alpharetta
State: GA

Zip

30004-

Home

(404) 388-0682

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Elvira Cornejo	01/25/1970	Mexico
Father	Miguel Cornejo	08/11/1964	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Midway Elementary
Grade: 2nd.
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