Pancho - YAÑ-MIT-06

Code: YAÑ-MIT-06
Mercy ID: V-02368-11
Encounter Date: 01/03/2007
Last: Yañez
First: Mitzy
DOB: 09/02/2006
County: Dekalb
Street: 1451 Briarwo Rd. Apt. 33
City: Atlanta
State: GA

Zip

30319-

Home

(678) 559-6988

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Ana Padilla	03/02/1982	Mexico
Father	Adrian Yañez	10/15/1981	USA
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: Y. Garcia
Data Entry: J. Manzo