Pancho - ARR-EMI-06

Code: ARR-EMI-06
Mercy ID: V-02893-11
Encounter Date: 06/24/2009
Last: Arredondo
First: Emily
DOB: 11/28/2006
County: Gwinnett
Street: 1780 Graves Rd. Apt. 923
City: Norocross
State: GA

Zip

30093-

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Alicia Aboytes	06/23/1977	Mexico
Father	Miguel Arredondo	05/23/1985	Mexico
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: C. Martinez
Data Entry: J. Manzo