Pancho - BEL-ZUL-89

Code: BEL-ZUL-89
Mercy ID: V-01882-11
Encounter Date: 05/16/2005
Last: Bello
First: Zuleyma
DOB: 10/26/1989
County: Dekalb
Street: 2287 Plaster Rd.
City: Atlanta
State: GA

Zip

30345-

Home

(404) 299-7238

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	Victoria Bello	08/21/1973	Mexico
Father	N/A	N/A	Mexico
Step Parent	Freddy Chiche Polanco	11/09/1972	Guatemala

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Cross Keys
Grade: 10th.
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: K. Aleman
Data Entry: K. Aleman