Pancho - ARC-ALE-00

Code: ARC-ALE-00
Mercy ID: V-02260-22
Encounter Date: 05/31/2006
Last: Arcia
First: Alex
DOB: 01/15/2000
County: Cobb
Street: 529 Woodsong Way
City: Smyrna
State: GA

Zip

30082-

Cell

(678) 754-7938

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Paula Arcia	09/02/1967	Nicaragua
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Nornan Park Elem
Grade: Kinder
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