Pancho - ALV-KIM-95

Code: ALV-KIM-95
Mercy ID: V-01745-12
Encounter Date: 12/01/2004
Last: Alvarez
First: Kimberly
DOB: 10/17/1995
County: Gwinnett
Street: 306 Joni Blvd.
City: Loganville
State: GA

Zip

30052-

Home

(770) 466-8745

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria Alvarez	12/30/1974	Mexico
Father	Jaime Alvarez	07/15/1971	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Jason Miguel Elem
Grade: 3rd.
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