Pancho - ALO-SUR-96

Code: ALO-SUR-96
Mercy ID: V-01777-11
Encounter Date: 12/15/2004
Last: Alonzo
First: Sury
DOB: 12/22/1996
County: Gwinnett
Street: 166 Stonehurst Way
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 717-8075

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Marcela Alvarado	N/A	Mexico
Father	Julio Alonzo	02/22/1973	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Cedar Hill
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