Pancho - ALC-KEI-04

Code: ALC-KEI-04
Mercy ID: V-02064-12
Encounter Date: 02/22/2006
Last: Alcocer
First: Keila
DOB: 08/09/2004
County: Gwinnett
Street: 5015 Bent Creek
City: Sugar hill
State: GA

Zip

00000-

Home

(678) 546-4902

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria Alcocer	02/17/1981	Mexico
Father	Jesus Sosa	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: N/A
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: R. Gonzalez
Data Entry: R. Gonzalez