Pancho - ALV-FRA-92

Code: ALV-FRA-92
Mercy ID: V-01859-22
Encounter Date: 04/13/2005
Last: Alvarez
First: Francisco j
DOB: 07/04/1992
County: Dekalb
Street: 1411 Winter Chapel
City: Doraville
State: GA

Zip

30360-

Home

(678) 925-6979

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria del Carmen Alvarez	07/15/1962	Mexico
Father	Jose Alvarez	12/23/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Father
Name of School: N/A
Grade: 7th.
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