Pancho - TAV-ARA-97

Code: TAV-ARA-97
Mercy ID: V-02327-12
Encounter Date: 09/13/2006
Last: Tavera
First: Araceli
DOB: 10/06/1997
County: Dekalb
Street: 751 N. Indian Creek Dr. # 244
City: Clarkston
State: GA

Zip

30021-

Home

(404) 296-8334

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria Jimenez	04/07/1972	Mexico
Father	Juan Tavera	06/24/1973	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Indian Creek Elementary
Grade: 4th.
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