Pancho - RIO-BEX-03

Code: RIO-BEX-03
Mercy ID: V-02029-12
Encounter Date: 09/28/2005
Last: Rios
First: Bexaira
DOB: 05/27/2003
County: Gwinnett
Street: 5987 Lanier Blvd
City: Norcross
State: GA

Zip

30071-

Cell

(678) 887-5583

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Graciela Iñiguez	09/10/1969	Mexico
Father	Jose Luis Rios	08/18/1967	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: norcross elementary
Grade: 1st.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: YES
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: F. Gomez
Data Entry: R. Gonzalez