Pancho - AJC-ERC-12

Code: AJC-ERC-12
Mercy ID: V-02230-12
Encounter Date: 08/23/2006
Last: Ajcalon
First: Erika
DOB: 01/11/1990
County: Gwinnett
Street: 1202 Gw. Square Cl
City: Duluth
State: GA

Zip

30096-

Home

(678) 334-5411

Family Status

Attached youth

COB

Guatemala

Gender

Female Child

Housing

Not Homeless

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Gloria Cumats	03/02/1971	Guatemala
Father	Angle Miguel Ajcalon	N/A	Guatemala
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: Volunteer
Data Entry: J. Manzo