Pancho - FRA-VAL-02

Code: FRA-VAL-02
Mercy ID: V-02509-11
Encounter Date: 09/17/2008
Last: Franco
First: Valeria
DOB: 02/10/2002
County: Dekalb
Street: 4206 Woodwing Court
City: Doraville
State: GA

Zip

30360-

Cell

(678) 558-9789

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Claudia Almazan	04/22/1969	Mexico
Father	N/A	N/A	Mexico
Step Parent	Rafael Alarcon	11/27/1968	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: High Tower
Grade: 1st.
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: C. Martinez
Data Entry: J. Manzo