Pancho - VEL-ISA-98

Code: VEL-ISA-98
Mercy ID: V-02284-12
Encounter Date: 10/08/2006
Last: Velazquez
First: Isabel
DOB: 05/06/1998
County: Gwinnett
Street: 3350 Sweetwater
City: Lawrenceville
State: GA

Zip

30029-

Home

(770) 935-9566

Family Status

Child/Youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Ma. Magdalena Gonzalez	07/23/1969	Mexico
Father	Felipe Velzquez	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: Stripling
Grade: 3rd.
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: G. Landeros
Data Entry: J. Manzo