Pancho - TRI-VAL-96

Code: TRI-VAL-96
Mercy ID: V-01864-11
Encounter Date: 04/06/2005
Last: Trinidad
First: Valeria
DOB: 03/02/1996
County: Gwinnett
Street: 503 Hampton Crossing
City: Norcross
State: GA

Zip

30098-

Home

(678) 924-0605

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	Edith Contreras	04/09/1975	Mexico
Father	Edmundo Trinidad	02/04/1978	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
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: Y. Garcia
Data Entry: K. Aleman