Pancho - ZAR-GIT-94

Code: ZAR-GIT-94
Mercy ID: V-02210-13
Encounter Date: 04/05/2006
Last: Zarate
First: Gitzel
DOB: 08/07/1994
County: Gwinnett
Street: 2672 Ansley Way
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 982-0587

Cell

(770) 873-4875

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Wendy Zarate	09/21/1973	Mexico
Father	Alejandro Mendoza	10/04/1971	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Five Fork Middle
Grade: 6th.
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