Pancho - ELO-ANG-02

Code: ELO-ANG-02
Mercy ID: V-02146-21
Encounter Date: 01/25/2006
Last: Elorza
First: Angel rodrigo
DOB: 08/11/2002
County: Gwinnett
Street: 425 Hunter Club Lane
City: Norcross
State: GA

Zip

30093-

Home

(770) 676-9317

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Marina Aracelia Elorza	08/01/1984	Mexico
Father	Miguel Rodriguez	05/17/1979	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Head Start
Grade: Pre-K
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: Volunteer
Data Entry: R. Gonzalez