Pancho - SIL-MAO-01

Code: SIL-MAO-01
Mercy ID: V-02616-11
Encounter Date: 10/10/2007
Last: Silva
First: Maomi
DOB: 10/21/2007
County: Gwinnett
Street: 5165 Harbins Point Ln NW
City: Lilburn
State: GA

Zip

30047-

Cell

(404) 424-1066

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Milagros Tirado	06/15/1976	Mexico
Father	Bartolo Silva	08/26/1963	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Hopkins elem.
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: C. Martinez
Data Entry: J. Manzo