Pancho - RES-LEL-02

Code: RES-LEL-02
Mercy ID: V-02346-13
Encounter Date: 11/29/2006
Last: Resendiz
First: Leilany
DOB: 01/04/2002
County: Gwinnett
Street: 4105 Landress Park
City: Lilburn
State: GA

Zip

30047-

Home

(678) 334-3817

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Rojo	10/18/1973	Mexico
Father	Ruben Resendiz	09/01/1972	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Knight Elementary School
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: Volunteer
Data Entry: J. Manzo